| Please
fill in the details in order to get Relocation Assistance
Fields marked with an *
are mandatory/required.
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Are You Relocating To or From The LAS VEGAS Area: |
To
From |
If
Moving From The Agent-City Area, Please Skip To Section 2 Below
Section 1 |
In Which Town/City Are You Seeking Property: |
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When Do You Expect To Begin House Hunting: |
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When Do You Expect To Move Into Your New Home: |
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Type of house which you are looking for: |
New
Only
Resale
Only
Either |
Are you looking for a: |
Single
Family
Townhouse
Condo
Coop
Multi-Family
Residence
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Minimum Lot Size (For single Family Homes Only): |
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* Maximum Price Range: |
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Top Price Range Possible: |
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$ |
Minimum Required Square Footage of Living Area: |
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Minimum Number of Bedrooms: |
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Minimum Number of Bathrooms: |
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Minimum Parking Requirements: |
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Do You Have School Age Children?: |
Yes
No |
Must You Sell A Current Home Before Buying?: |
Yes
No |
How Firm Are Your Relocation Plans: |
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Please Provide As Much Additional Information As You Can: |
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* First Name: |
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* Last Name: |
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* Street Address: |
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* City: |
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* State: |
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* Zip Code:
(Format: xxxxx-xxxx OR xxxxx) |
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* Email:
(Format: yourname@yourcompany.com) |
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Work Phone:
Either Home Phone or Work
Phone is Required
(Format: xxx-xxx-xxxx) |
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Home Phone:
Either Home Phone or Work
Phone is Required
(Format: xxx-xxx-xxxx) |
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The Following Phone Numbers Are Requested, But not Required,
As A Backup/Alternative To Email |
Fax Phone:
(Format: xxx-xxx-xxxx) |
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Mobile/Cell Phone:
(Format: xxx-xxx-xxxx) |
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