
TEXT VERSION OF BUYERS FORM

Please print this Form and fax or mail it to:
DEREK KIRK
9129 Elk Grove Boulevard
Elk Grove, CA 95624
FAX:(916) 483-1803
Please fill out all the necessary data below, so Derek Kirk can provide you with the accurate information you need.

Last Name:______________________________________________________
Street Address:___________________________________________________
City:__________________________ State:___________ Zip:______________
Day Phone:____________________ Evening Phone:_____________________
Fax:______________________ E-mail:________________________________
First Name:______________________________________________________

| PREFERRED CITY(s) TO PURCHASE HOME? |
_________________________________________ _________________________________________ _________________________________________ |
| PREFERRED ZIP CODE AREA(s)? |
______________ ______________ ______________ |
PREFERRED ACREAGE SIZE: ____ Under .10 ____ .11 - .19 ____ .20 - .29 ____ .30 - .39 ____ .40 - .49 ____ .50+ |
STORIES ____ 1 Story ____ 2 Story ____ 3 or more |
| PREFERRED SQ. FT. ____ 500 - 1000 ____ 1100 - 1400 ____ 1500 - 1900 ____ 2000 - 2400 ____ 2500 - 3000 ____ 3100 or above |
BEDROOMS ____ 3 ____ 4 ____ 5 - 6 ____ 7 or more |
BATHROOMS ____ 2.5 ____ 3 or more |
____ 2 Houses on lot ____ Condo/PUD ____ CO-OP ____ MOD/MANUF ____ Halfplex ____ Mobile Home |
| PREFERRED GARAGE STYLE: ____ 1 Car Attached ____ 2 Car Attached ____ 3+ Car Attached ____ 1 Car Detached ____ 2 Car Detached ____ 3+ Car Detached ____ 1 Car Carport ____ 2+ Car Carport ____ Converted garage ____ No Garage |
Above Ground Pool? ____ Yes ____ No
Hot Tub?
Built-in-Pool
Gazebo |
| AGE OF HOME PREFERENCE?_____ |
#FIREPLACES ____ |
____ Corner lot ____ cul-de-sac ____ Dead End ____ Golf Course ____ Greenbelt ____ Waterfront ____ Other |
PREQUALIFIED? ____ Yes ____ No
IF NOT, |
WEBMASTER - Armstrong Creations
Web site modified on November 2004
Copyright © 2004 All Rights Reserved.