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Personal Move * Job Transfer * Retirement
Military Transfer * Corporate Transfer

HOME BUYING, SELLING & RENTING:
Interest:  selectneed selling assistanceneed buying assistanceneed buying and selling assistanceneed rental - not planning on buyingtemporary housing now - buy laterother - please explain below
Home purchase plans: immediately within 1 month2-3 months4-6 months6-9 months9-12 months12-18 months18-24 monthsnot buyingother - explain below
Home sale plans: immediately within 1 month2-3 months4-6 months6-9 months9-12 months12-18 months18-24 monthsno home to sellwill not sellhome is soldother - explain below

RELOCATION: (if relocating)
Destination:(state) AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDistrict of ColumbiaDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMarylandMaineMassachussettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaWashingtonWest VirginiaWisconsinWyomingnot relocatingother
(city, town, region) 
Relocating when?  now 30 days or less 30-60 days 2-3 months 3-6 months6-9 months9-12 months12-18 months18-24 months2 yrs + not relocating

PERSONAL INFORMATION:

Name:	
Address:	
	
City:	 St: Zipcode:
E-Mail:    	
Phone:     		 Fax:
(very helpful for initial contact)
I would prefer to correspond by:   phone email mailfax 

Employment Status:	seeking employment in the interview process received employment offertransfer with present employerretirement starting new businessrelocating businessother - please explain below 

Comments: (Make your request as detailed as possible)


Please make sure that all the information is correct.