Your Name:

Your Phone Number (including area code):

If you can receive information by fax what is the fax number including area code?

What is the mailing address of the home you want to sell:

Address:
City:	State: MN AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MS MO MT NE NA NJ NH NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip:
E-mail

Do you have a school district preference? Chisago Lakes Forest Lake Taylor's Falls Stillwater Any School District

Do you own your home or are you renting? Own My Home Renting

How many family members will be living in this home?

How soon would you like to get in your new home? Within 1 week 2 Weeks or less Within 1 month 1-2 Months 2-6 Months Within the next year Not sure when

What style home do you like? Ranch (1 Story) Cape Cod (1 1/2 Story) 2 Story Bi Level Raised Ranch Split Level Earth Home Condo Duplex Mobile Home Double Wide Modular or Manufactured Any Style Home-I'm Open Minded Other

What is the minimum number of bedrooms that you need? 1 Bedroom 2 Bedrooms 3 Bedrooms 4 Bedrooms 5 or more bedrooms

How many baths? Whatever we can get in our price range 1 Bath Minimum 1 1/2 Baths 2 Baths 2 1/2 Baths 3 Baths

Do you need a garage? 1 Car 1 1/2 Car 2 Car 2 1/2 Car 3 Car 3 1/2 Car 4 Car or Larger Pole Barn/Garage Attached Garage Detached Garage Combination Other None

Tell me about any special features that are important to you:

What price home are you considering?

Have you been preapproved for a home loan yet? Yes No

Do you have a specific bank or mortgage company that you would like to work with?

Did you know that I can get todays interest rate locked in for approximately 30 days to protect you against future rate increases?

Would you like for us to lock the rate in for you? Yes No

When is the best time for you to view homes?

Please select one of these options: or

Thank you for taking the time to complete this questionnaire. We will be in touch with you.