Jennifer Heideman - A Century 21 Olympia Realtor

jennifer.heideman@century21.com • 1-866-982-2121 x112

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Property Request Form

How would you like to see new homes that come on to the market that meets your criteria in your e-mail? Fill out this form for a customized search for your new home today.

Once registered, I can email you new homes as they come on to the market so be sure to input your e-mail address correctly.

Contact Information

Name (required):
E-mail (required):
Address:
City:
State:
Zipcode:
Day Telephone:
Evening Telephone:
Fax:

General Information About Your Move


Are you relocating?		Yes No

Where are you moving?
City:
State:
Zipcode:

When do you anticipate purchasing your new home?

Information About The Home You Are Looking For

Type of Home:

Single Family	Condo/Townhouse	Multi-family
Mobile Home	Farm	Land Only

Approximately priced between: and

Number of Bedrooms: 1 2 3 4 5 6+

Number of Bathrooms: 1 2 3 4+

Interior Features & Preferences:

Living Room	Yes No	Family Room	Yes No
Fireplace	Yes No	Hardwood Floors	Yes No
Den / Study	Yes No	Laundry Room	Yes No

Other Important Interior Features:

Exterior Features & Preferences:

Swimming pool	Yes No	Spa	Yes No
Waterfront	Yes No	Garage	Yes No
Tile roof	Yes No	Fenced	Yes No

Other Important Exterior Features:

Additional Information

Have you ever been pre-approved or pre-qualified for a mortgage?

No Yes If yes, for how much?

Do you have a down payment?

No Yes If yes, what is your maximum commitment?

Have you had a credit report done lately?

No Yes If yes, any problems? Yes No

Please use this space for any other comments or questions you might have.

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