It is our job to help you the best we can to relocate.  The more we know, the more we can help relieve the stress and trauma.  Please help us to help you.  Please fill in this form and click the submit button at the bottom of this page.  We will contact you shortly.
Thank You!

Date:     
E-mail address:    
Name:    
Spouse's Name:     
Present Address:    
City:     State:   Zip Code:     
Phone(Home):     (Business):     

DATES:
When do you plan to come to Jacksonville to select a home?   
When do you plan to move?  
Are you definitely moving to Jacksonville?  Yes:   No: 
Have you been to Jacksonville? Yes:   No: 
Area Preferred?  

SPECIAL FEATURES DESIRED:
Bedrooms:  Baths:  Family Room/Great Room: Yes:   No:  
Sq. Ft.:  Living room: Yes:   No:   Separate Dining:  Yes:   No:  
Garage: Yes:   No:   
Number of people residing in home?  
What features are essential in your new home?: 
 

OCCUPATIONAL/SCHOOL INFORMATION:
Where will you be employed?  Position:  
Rank or Grade (if military):  Need to be close to job?  
If military, how many years have been on active duty?  
Names and ages of children?  
Any special education or school requirements?  

FINANCIAL INFORMATION:
Do you own your own home?   Yes:   No:  Is it currently for sale?   Yes:   No:  
Do you need to sell it prior to making your decision to buy here?:   Yes:   No:  
Would you like a REALTOR in your area to call you?   Yes:   No: 
Do you have VA eligibility?  Yes:   No:  Total price range? 
How much are you planning for a down payment?  
Monthly payments? 
Do you or your spouse want assistance in finding a job?  Yes:   No:  

COMMUNITY AND HOBBIES:
What have you enjoyed most about your current home and community?

What hobbies or activities is your family involved with?

What type of environment do you enjoy most (city, county, beach, trees, etc.)?
 

UPON ARRIVAL IN JACKSONVILLE:
How many days will you be here?  
Would you like for me to make motel reservations?  Yes:   No: 
Do you need me to pick you up at the airport?  Yes:   No: 
What airline?   Flight#? 
Arrival date and time: