First Name      MI     Last Name
Current Address    City   State    Zip
Home Phone   Work   Email
Type of purchase Choose Will be purchasing individually Will be purchasing with spouse Will be purchasing home with a partner Will be purchasing home with a family member Company or Corporate Purchase Other - address below in comment section of form
Referred by       Choose Internet Friend Family Member Radio Realtor Publication Billboard Sign TV Loan Officer Other    Currently own your home or Business Bldg? Choose No Yes  
If renting, what are your monthly payments?

 Investing to Resale 
Buying to Live-in
Buying to Hold for Rental

Home/Land Details

Do you want new construction or resale?  Choose New Construction (Home never occupied) Resale (Home previously occupied) Not Sure
Type of  home are you looking for?  Choose Single Family Resident Multi Family Condo Townhouse Cluster Duplex Commercial Apartment Building High Rise Land Only Farm Industrial Church School Lake Property Other  
Land Lot Size  Choose Not Sure Less than .5 Acre .5 - 1 Acre 1 - 2 Acres 2 - 5 Acres 5 - 10 Acres 10 - 20 Acres 20 - 50 Acres 50 - 100 Acres Over 100 Acres   Construction Choose Not Sure Aluminum-Vinyl Brick Brick-Frame Log Press Board Siding Stone Wood Siding Stucco Other
Bedrooms Choose 1 2 3 4 5 6 +    Baths Choose 1 2 3 4 5 +   Stories Choose Not Sure 1 Story 2 Stories Over 2 Stories Multi Level Split Level Other
Style  Choose Not Sure Bungalow Cape Code Colonial Contemporary European Traditional Victorian Ranch Townhouse Mobile Home Modular Home    Amenities  Choose Not Sure Pool Lake Park Golf Course Sidewalks Street Lights Tennis Courts Walk to Marta Walk to Schools Walk to Shopping Stables Neighborhood Assoc Other
Rooms  Choose Not Sure Bonus Rm Dining Rm Living Rm Combo Dining Rm Separate Family Rm Great Rm In-law Ste Library-Office Living Rm Separate Master on Main Rec Rm Sun Rm Solarium Rm Loft Basement Other   

Commercial Property Details

Type of property needed Choose Office/Professional Industrial/Mfg Retail Land
Transaction Anticipated Choose Purchase Build-to-suit
Square Footage Required

Financial Details

Investment Range Choose Less than 10,000 10,000 - 20,000 20,000 - 30,000 30,000 - 40,000 40,000 - 50,000 50,000 - 60,000 60,000 - 70,000 70,000 - 80,000 80,000 - 90,000 90,000 - 100,000 100,000 - 120,000 120,000 - 130,000 130,000 - 140,000 140,000 - 150,000 150,000 - 160,000 160,000 - 170,000 170,000 - 180,000 180,000 - 190,000 190,000 - 200,000 200,000 - 300,000 300,000 - 400,000 400,000 - 500,000 500,000 - 600,000 600,000 - 700,000 700,000 - 800,000 900,000 - 1,000,000 1,000,000 +
Preferred Purchase Date Choose Immediately 1 - 2 Weeks 2 - 3 Weeks 3 - 4 Weeks 1 Month 2 Months 3 Months 4 Months 5 Months 6 + Months  
Have you been pre-approved for financing? Choose No Yes Paying Cash
Name of financial institution who pre-approved your loan?
Would you like us to refer a lender/mortgage institution? Choose Yes No
Will you be selling your current property?  Choose Not Sure Yes No Other

Please list any additional cities & counties of interest in the
Comment/Special Instruction section below:

Preferred city  choose Not Sure ACWORTH ADAIRSVILLE ALPHARETTA ANNISTOWN ARAGON ARCADE ATHENS ATLANTA AUBURN AUSTELL AVONDALE ESTATES BALDWIN BALLGROUND BERKELEY LAKE BETHLEHEM BETWEEN BIG CANOE BISHOP BLAINE BLUE RIDGE BOGART BOSTWICK BRASELTON BRASWELL BREMEN BROOKHAVEN BUCHANAN BUFORD CALHOUN CANDLER CANTON CARL CARROLLTON CARTECAY CARTERSVILLE CEDARTOWN CHAMBLEE CHATTSWORTH CLARKSTON CLARKSVILLE CLAYTON CLERMONT CLEVELAND COLLEGE PARK COMMERCE COMPTON CONLEY CONYERS CORNELIA COVINGTON CRABAPPLE CRAWFORD CUMMING DACULA DAHLONEGA DALLAS DANIELSVILLE DAWSONVILLE DECATUR DEMOREST DILLARD DORAVILLE DOUGLASVILLE DULUTH DUNWOODY EAST POINT EASTON EASTVILLE EATON EBENEZER ELLENWOOD ELLIJAY EMERSON FAIR PLAY FAIRBURN FAIRMONT FAYETTVILLE FLOWERY BRANCH FOREST PARK FRANKLIN FREEHOME GAINESVILLE GILLSVILLE GOOD HOPE GRAVES GRAYSON GREENSBORO GRIFFIN HAMPTON HANNAH HAPEVILLE HARTWELL HAWKINSVILLE HELEN HERDONVILLE HEYSHAM HIGH SHOALS HIRAM HOGANSVILLE HOLLY SPRINGS HOMER HOSCTON JASPER JEFFERSON JERSEY JONESBORO KENNESAW KINGSTON LAKE LAKEMONT LAVONIA LAWRENCEVILLE LEBANON LILBURN LITHIA SPRINGS LITHONIA LOCUST GROVE LOGANVILLE LOVEJOY LULA MABLETON MADISON MANSIFIELD MARBLEHILL MARIETTA MARTIN MATT MAYSVILLE MCDONOUGH MINERAL BLUFF MONROE MONTICELLO MORGANTOWN MORROW MURRAYVILLE MURRAYVILLE NELSON NEWBORN NEWHOPE NEWNAN NICHOLSON NORCROSS NORTH HIGH SHOALS OAKHILL OAKWOOD OTHER EAST OTHER NORTH OTHER SOUTH OTHER WEST OXFORD PALMETTO PEACHTREE CITY PENDERGRASS PINE LAKE PINE MOUNTAIN PLAINVILLE PORTERDALE POWDER SPRINGS RANGER RESACA REX RIVERDALE ROCKMART ROME ROSWELL ROYSTON RUTLEDGE RYDAL SAND HILL SANDY SPRINGS SAUTEE SCOTTSDALE SHESTNUT MOUNTAIN SHILOH SMYRNA SNELLVILLE SOCIAL CIRCLE SPARTA STATHAM STILESBORO STOCKBRIDGE STONE MOUNTAIN SUGAR HILL SUWANEE TALKING ROCK TALLAPOOSA TALMO TATE TAYLORSVILLE TEMPLE TOCCOA TUCKER UNION CITY VILLA RICA VININGS WACO WALESKA WALNUT GROVE WARM SPRINGS WATKINSVILLE WHITE WINDER WINSTON WINTERVILLE WOODSTOCK YORKVILLE    Preferred county choose Not Sure BANKS BARROW BARTOW BUTTS CARROLL CHEROKEE CLARKE CLAYTON COBB COWETA DAWSON DEKALB DOUGLAS FAYETTE FLOYD FORSYTH FULTON GILMER GORDON GWINNETT HABERSHA HALL HANCOCK HARALSON HENRY JACKSON LUMPKIN MORGAN NEWTON OCONEE OTHER-NO OTHER-SO PAULDING PICKENS POLK RABUN ROCKDALE SPALDING STEPHENS WALTON WHITE

Comments/Special Needs or Instructions

Thank you for the opportunity

Please don't hesitate to call if you have any question @ 4O4-425-3258