Information Request Form
Please complete the questions below and we will respond to your requests quickly.
Name
required
Street Address
City
State
Zip Code
Phone Number
Email Address
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How did you get to our web site?
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Select...
Internet Search
KOTV.com
Print Advertising
Friend
Salesperson
Other
What size home are you planning to purchase?
Sq. Ft.
Bedrooms
Baths
Price Range and/or
Payment Range Wanted
Type of home in which your currently live:
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Apartment
House
Mobile Home
Condominium
Other
Do you own your home or rent?
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Own
Rent
Do you own your own land?
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Yes
No
Current Monthly Payment:
Do you have a trade in?
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Yes
No
Trade In Year?
Trade In Make?
Trade In Size?
# of Bedrooms?
# of Baths?
Other Special Features?
Trade In Payoff Amount:
Do you prefer leased land?
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Yes
No
Will you need assistance in locating a site?
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Yes
No
When are you planning to purchase your home?
What area do you plan to live in?
Would you like us to arrange financing?
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Yes
No
Ho much of a down payment would you like to put down?
How would you rate your credit score?
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Excellent
Very Good
Good
Fair
Poor
Tell us about any homes or floor plans that you have already seen that you liked.
Are there any special features that you want?
Would you like us to send you an information package?
*Address Required
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Yes
No
Additional Information:
Home-Mart
info@homemart.us
918-835-0500
800-364-4663
9516 E. Admiral Place
Tulsa, OK 74115
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