Looking to relocate? Please fill out this form so I can learn more about what you want or need in a home.

First Name *

Last Name *

Your Email *

Street Address *


State *

Zip Code *

Phone *

Best time to call

Tell me a little about yourself.

When are you expecting to relocate?
 Immediately  6 Months 1 Year Undetermined

How many adults live at home?
 1 Adult 2 Adults 3 Adults 4+ Adults

How many children live at home?
 1 Child 2 Children 3 Children 4+ Children

What grade level are your children? (check all that apply)
 Pre-School K-6 7-9 10-12

Desired square footage:
 1,000 - 1,500 sq ft 1,500 - 2,000 sq ft 2,000 - 2,500 sq ft 2,500 + sq ft

What sort of amenities would you prefer?

Number of Bedrooms:

Number of Baths:

 1 Car 2 Car 3+ Car

Home / property Type: (check all that apply)
 Acreage / Country Horse Set-up / Ranch Single-story Multi-story Golf Course Community Executive Property

What are you looking for? (check all that apply)
 New Construction Existing Investment 2nd Home

Do you currently own property?
 Yes No

What price range best describes your interest?
 $100K - $150K $150K - $200K $200K - $250K $250K - $350K $350K -$500K $500K +

Additional Comments



In working with Sue, I found that she always hit her goals, and kept her word. Sue is a person that lives her life based the principles of integrity, loyalty and a can do attitude. The long and short of it, Sue is a focused, goal driven, dedicated, customer oriented professional. I would gladly work with her again.

John Belluomini, Mortgage Planner July 13, 2006

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