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DFW FREE Move's Additional Information Form
To receive additional information, please complete the following:

** = Must be completed

** Name:

Street Address:

** City:

** State:

Zip:

Do you rent or own?: Rent Own

NOTE: Please enter Area Codes also

Local Dallas Area Business Phone Number:

Local Dallas Business Name:

** Areacode & phone number:

** Evening phone number:

Pager number (if any):

** E-Mail Address:

** Area in which I am interested in living:

If "Other", please specify:

** Expected move date:

** Number of bedrooms requested:

** Price range - minimum: $

** Price range - maximum: $

** Whose name will be on the lease?

Will you be in the market to buy a home within 6 to 12 months? Yes No

Buying within 6 months:

Buying within 12 months:

Yes, please have your Home Buying Representative get in touch with me to provide some initial information on the price of homes in the Dallas/Ft. Worth area, locations, mortgage lending rates, and the loan approval process.

Comments or questions:

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