Apply for a loan... NEW HOME REQUIREMENTS
Name: _____________________________
Address: __________________________
City/St./Zip: _____________________
Home Phone: _______________________
Work Phone: _______________________
Special needs:_____________________
_____ Down-sizing empty nesters
_____ One or two person family
_____ Shopping for starter home
_____ Older parent lives with you
_____ Young family ___ children
_____ Ages
_____ Pets: ___Dog(s) ___Ca
t(s)

Garage:_________ Attached_________ Detached_________ Car_________ Carport_________
Number of Bedrooms:________________________ Number of Bathrooms:____________________
Condition: _______ Move In _______ Some Cosmetic _______ Total Rehab
TYPE AND STYLE
[ ] Single Family Home [ ] Frame Ranch [ ] Bungalow
[ ] Condominium [ ] Brick Ranch [ ] Victorian
[ ] Townhouse/PUD [ ] Colonial [ ] Contemporary
[ ] Duplex [ ] Tudor [ ] Cape Cod


Preferred Community or Area
[ ] Urban (Specify Neighborhood) ____________________________________
[ ] Suburban (Specify area) ____________________________________
[ ] Rural (Specify Town) ____________________________________
Price Profile (Place an "X" next to the money range you expect to spend on your new home)
____ Under $100,000 ____ $150,000 - $174,999 _____ $250,000 - $299,999
____ $100,000 - $124,999 ____ $175,000 - $199,999 _____ $300,000 - $399,999
____ $125,000 - $149,999 ____ $200,000 - $249,999 _____ $400,000 or more
Desirable Maximum Distances in Miles/Time To:
Employment ________________________________
Shopping ________________________________
Public Transportation ________________________________
Elementary School ________________________________
Middle School ________________________________
High School ________________________________
College ________________________________
Special Education ________________________________
Church ________________________________
Airport ________________________________
Medical Facilities ________________________________
Grocery Shopping ________________________________
Shopping Mall ________________________________
Other Necessities/Desirable Amenities

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