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William H. Burton, Jr. ABR, ARM, CRB, CRS - Broker Contact Bel-Cross

Single Family Home Buyer Agency Questionnaire

This is an on-line questionnaire for people interested in purchasing a single family home. Complete the questionnaire as much as possible and submit your information to Bel-Cross Properties. A REALTOR® will contact you regarding your submission. Thank you for your time.

Contact Information
Name:
Required field.
Street Address:
Required field.
City/State/Zip:
Required field.
Home Phone #:
Required field.
Work Phone #:
Required if you want Bel-Cross to contact you at work.
Mobile Phone #:
Optional.
Fax #:
Required if you want Bel-Cross to fax you information.
E-Mail:
Required if you want Bel-Cross to contact you via e-mail. Must be a valid Internet e-mail address of the form user@domain.com.

How would you like to be contacted?

Area / Community of Interest
City:
County:
Subdivision/Community:
Style:
Age of home:
Price range:
Required Field.
Features Desired

Number of Bedrooms: *
Number of Full Baths: *
Number of Half Baths: *

Minimum Sq. Feet: *
Lot size/Acerage: *

Garage, # of Cars: *
Family Room
Formal Dining Room
Fireplace or Woodburner
Deck
Den
Basement
* denotes a required field
Other Important Questions

Source of Downpayment:
If other, please explain:

Would you like to have a lender prequalify you?
Would you like to be placed on a mailing list for Homes & Land Magazine? If checked, need a mailing address.

Please provide us with any further information requirements that would assist us in finding you a home.
Send your information to Bel-Cross Properties.
Clear the information entered and start over.

Bel-Cross Properties is a member of the National Association of REALTORSŪ and subscribes to the Equal Housing Opportunity. REALTORŪ -- A registered collective membership mark that identifies a real estate professional who is a member of the National Association of REALTORSŪ and subscribes to its strict Code of Ethics. Inquiries regarding the Code of Ethics should be directed to the board in which a REALTORŪ holds membership.
For real estate related questions, contact Bel-Cross Properties. About this website. Site designed by Literati Information Technology.