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Your name and contact information:
name:
phone:
e-mail:
What size home do you want?
single wide
double wide
How many bedrooms do you need?
one
two
three
four
How many bathrooms do you need?
one
two
Where would you like the home
located?
family
community
55+ community
rented
private lot
moving
home
Does
not matter
If you chose a moving home,
which applies?
need
to find property to rent need
to find property to purchase
already
have a location to move home
What are do you want to be
located?
What is you preferred price
range?
| under
$10,000 |
$10,001-$15,000 |
$15,001-$20,000 |
| $20,001-$30,000 |
$30,001-$40,000 |
$50,000+ |
Will financing be needed?
yes
no
How much down payment do you
have?
If financing is needed, how is
your credit history?
good
questionable
poor
not established
How soon do you need possession
of your home?
immediate
30 days
60 days
90 days
other
Do you have any other comments?
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