Need to Buy?

Relocating to Orlando? Please fill out the following form and click "Submit Information". We will then contact you and make your move to Florida as painless as possible.
Items marked with an "*" are required fields.

Current Address & Info
Name*:
Date (MM/DD/YY)*:
Current Address*:
City*:
State*: Zip*:
Home Phone*:
Office Phone:
FAX:
Email*:
Children:

 Boys: Ages: Names:
 Girls: Ages: Names:

Kid's Activities:

Move Date: 1 month 2 months 3 months 4-6 months Over 6 months

Present Home Information
Bedrooms: Bathrooms: Approximate Size:
Favorite Features: Mortgage Payment:
Large Furniture: Piano Pool Table Bedroom Suite Dining Hutch Other

Home Buying Needs
Preferred Location:
Orlando   Winter Park   Metro West   Bay Hill   Heathrow/Lk. Mary
College Park   Oviedo   Ocoee   It doesn't matter
Other:
Type of Home:
Single Family Town Home Duplex (half or full)
Condominium Farm/Ranch
Other:
Architecture Desired:
Traditional   Colonial    Victorian
French    Contemporary
Other:
Age of Home:
New Construction   1 to 5 Years
6 to 10 Years    Established Neighborhood
Other:
Lot Features Desired:
Corner   Cul-de-sac    Secluded    Lake Front   Lake View
River Front   Acreage (1+ Acre)   Rural/Country Setting
Golf Course Frontage    Gated Community
Other:
Pool/Spa/Hot Tub:
Pool Required   Pool Not Desired
Hot Tub    Separated Play Yard
Other:
Square Footage:
1500 to 2000   2000 to 2500
2500 to 3000   3000 to 3500
3500 to 4000   4000 +
Rooms Desired:
3 Bedrooms   4 Bedrooms   4+ Bedrooms
Kids Game Room   Office/Study
Family Room   Formal Living Room
Other:
Type of Parking:
Two Car Garage   Three Car Garage
Four+ Garage   RV Boat Slab
Other:
Type of Schools Desired:
Public Education   Parochial
Private Schools   Special Education
No Preference
Other:

Price Range:

Down Payment: 
Source of Funds:
Stocks   Other Real Estate   Bonds   Relative
Alimony    Child Support   Company Buyout
Other:
Preferred Financing:
Conventional   FHA   VA   Assume No Qualify
Fixed Rate   Adjust. Rate Mortgage   All Cash
Other:
Salary: 
Special Desires For Your New Home:

Monthly Liabilities (Recurring Debt):

Auto Loan $   Balance $
Auto Loan $   Balance $
Visa $   Balance $
Master Card $   Balance $
Personal Loan $   Balance $
Other $   Balance $



Patrick & Jill Gallagher, Realtors - 407.629.6330 x273
RE/MAX 200 Realty • 954 S. Orlando Ave. • Winter Park, FL 32789
PJG@sold-home.com