| Name: |
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| Address: |
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| Address2: |
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| City: |
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| State: |
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| Zip Code: |
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| eMail: |
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| Phone: |
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| 1) Do you now? Rent Own Home Own
Mobile Home Live with
others |
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| 2) How soon do you want to
build? |
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| 3) Do you own your building
site? Yes
Pending No |
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| 4) What county do you want to
build in? |
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| 5) What is your budget?
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| 6) What floorplan do you want
priced? |
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| 7) Foundation type?
Crawl Space Basement |
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| 8) Garage? none 1
car 2 car 2+ car 3 car more |
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| 9) Porch? none |
DoubleGable |
Gable |
Pop-Up |
Country |
Half Gable |
Full Front |
Wrap Around |
Custom |
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| 10) Heating System? 90%+ Gas/Propane Geothermal Elect. Baseboard Elect.Forced Air By Owner |
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| 11) Central Air
Conditioning? Yes No By Owner |
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| 12) Other Pricing Requests?
(check all that apply) |
| Wood/Laminate Floors Tile Floors Fireplace Deck/Patio Sun Room |
| Six Panel Doors High Ceilings Solid Surface Countertops Dormer(s) |
| Finish Upstairs of Cape Cod
Finish Basement Cedar Siding Brick Stone |
| Septic System Well Driveway Sidewalks Other (please describe below) |
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