Full Name
Spouse
Home Phone
Cell Phone
Spouse Cell Phone
Work Phone
Address
City
State
Zip
Country
Email
Spouse Email
Are you looking to:	Buy    Rent    Sell    Short Sell    Lease Option
Target move in date?
How much rent can you afford?
How much money do you have to move?
Present employer?
Current monthly income?
Prefered city and/or zip code?
Amount of bedrooms?
Amount of bathrooms?
Desired parking arrangements:	1 Car Garage 2 Car Garage 2.5 Car Garage 3 Car Garage 4 Car Garage Golf Cart Garage Tandum Garage Over Height Garage Extended Length Garage 1 Car Carport 2 Car Carport Detached Slab Assigned Parking Unassigned Parking Side Vehicle Entry Rear Vehicle Entry Electric Door Opener(s) Attached Garage Cabinets Seperate Storage Area(s) Other
Do you have pets?	yes    no
If so, amount and type
What is your credit score?
Are you renting now?	yes    no
What is your rent currently?
How long have you been there?
Are you in a lease?	yes    no
Why are you moving?
How did you hear about us?	Google Craig’s List Flyer Friend Sign Other
Additional comments:
Inital contact person?	Bobby Evan Erica Kayla Kristina Chastity Charlotte Ashley John Ceci Wes Teresa Grand Central
Initial contact date?	Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 19911992199319941995199619971998199920002001200220032004200520062007200820092010