Customer Name 1

Phone *

Email *

Lot Selected

How'd you hear about us?

Where are you living now?

City
State

Community Questionnaire

Are you looking to live in a community?

Yes

No

Are you working with a Retailer?

Yes

No

Are you looking to place a home you already own?

Yes

No

Is it 5 years or newer?

Yes

No

Home Purchase Details

Are you looking to buy withing the next 6 months?

Yes

No

Purchasing Timeline

Are you in a lease?

Yes

No

When is your lease up?

What do you pay monthly?

Do you own a home?

Yes

No

Are you selling to purchase?

Yes

No

Why are you looking to move?

Desired Home Size

Double-wide

Single-wide

Tiny Home

Number of Beds

1

2

3

4

5

Number of Baths

1

2

3

Top 3 most important features in a home?

1
2
3

Financial Information

Yearly Income

Applying for Financing?

Yes

No

Source of Income

W2 Employment

1099 Self Employment

Retirement

Other

Do you have a co-buyer?

Yes

No

Co-Buyer's Full Name

Credit Score Range

Below 600

600-650

650-700

700+

Unknown

Do you have a copy of your most recent credit report?

Yes

No

You can try this free trial? Equifax.com

Are you prepared for a down payment?

Yes

No

Down payment amount

Are you able to obtain a down payment?

Yes

No

Monthly Home Budget Including Lot Rent?

Lot rent is $650, $675, or $700 depending on the lot selected

If I were to show you the perfect home, what budget could you go up to?

Ideal Floorplan

Backup Floorplan

Questions/ Comments/ Notes: