THIS FORM IS NOT AN APPLICATION FOR A HOME,

This form is for our office to contact you on FUTURE homes only. 

    If you see a home on our website that you are interested in, Please fill out an application by following this "Application" link or the application link from the home page. If you have question on any home please contact the office 9am to 5 pm Monday, Tuesday and Thursday, 9am to 6pm Wednesday, and 9am to 4pm Friday at 1-866-999-9791 (toll free)

                                                Thank You

This information is used in our office only. You will be contacted only on the homes that meet your selected criteria. For example: if you select a payment of $450 to $550 per month you will not be contacted on homes with a $700 a month payment. 

NOTICE: Any forms received that are not fully completed are unusable in our system and will be discarded.

( The alternate number is used in case you move in the future or your number changes, a parent or friend's contact number works well ) 

Would you be willing to do work on a home as a down payment?    yes    no

If any, what type of construction/remodeling skills do you have? 

how would you rate these skills (average, good, excellent...etc.)?   

Minimum Bedrooms needed

2 bedroom    3 bedroom    4 bedroom    5 bedroom

Maximum total monthly payment you are comfortable with and would like to receive information on (including principle-interest payment, the real estate taxes and homeowners insurance):

$450 to $550 $551 to $700 $701 to $900 $901 and up

Down payment available to put towards your home:

$0 to $1000 $1001 to $2000 $2001 to $3000 $3001 to $4000 $4001 to $5000 $5001 to $7000 $7001 to $9000 $9001 to $11000 $11001 to $14000 $14001 to $17000 $17001 to $20000 $20001 to $25000 $25001 to $30000 more than $30,001

Locations you would consider :

Auglaize county:

Mercer county:

Van Wert county:

Allen County:

Rate your Credit
Poor    Fair    Good    Great

Additional Comments: