Interbase Real Estate July 2nd, 2009
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Please fill out this
HOUSING QUESTIONNAIRE
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SCHOOL REQUIREMENTS:
NUMBER IN FAMILY: HOMESTYLE PREFERRED:
NO. OF BEDROOMS:      NO. OF BATHROOMS:
ARE YOU FAMILIAR
WITH THE AREA?: 		Yes     No
PRICE RANGE $: DOWN PAYMENT $:
WILL THIS BE A HOUSE HUNTING TRIP?: Yes:
DATE OF A HOUSE HUNTING TRIP: PLANNED DATE OF DEPARTURE:
ARRIVAL DATE: PREFERRED DATE OF OCCUPANCY:
ADDITIONAL INFORMATION OR REQUIREMENTS:
E-MAIL ADDRESS: NAME:
ADDRESS: TELEPHONE (Home):
TELEPHONE (Work): POSTED FROM:
POSTED TO:  

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