Relocation Inquiry

First Name (required)
Last Name (required)
Spouse or Partner First Name
Spouse or Partner Last Name
Occupation
Address
City
State
Postal Code
Country

Phone Number

Fax

Email Address

Is this your first visit to Prescott?	yes no
Tell me more about what you're looking for (check all that apply) House? Condo? Mobile? Income Property? Horse Property? Business? Building Lot? City? County?
What price range are you considering?	under $100,000 $100,000 - $250,000 $250,000 - $500,000 more than $500,000
How many square feet do you require?	under 1500 1500 - 2000 2000 - 3000 more than 3000
Please indicate the number of bedrooms you need	One Two Three Four or more
Number of bathrooms?	1 2 3
Which of the following do you need? (check all that apply) Living Room? Great Room? Family Room? Den? Formal Dining Room? Dining Area? Garage? Carport? Pines? View? Privacy?
Do you need a mortgage?	yes no
Have you been prequalified?	yes no
Are you prepared to purchase now?	yes no
Are you prepared to purchase within one year?	yes no
Do you have specific plans or are you just shopping?	specific plans just shopping, thanks
Do you have property to sell before relocating?	yes no
Would your purchase be cash?	yes no
How many family members live at home?	1 - 2 3 - 4 5 - 6 more

Anything else you can think of that will help me realize your goal?