J-Mar Realty

Real Estate Service Request Form
Fill out appropriate sections only!

The below information should be filled out as best as possible for us to respond to your request.

Name (Required)
Street
City
State
Zip
Country
Email Address (Required)
Phone # Evening
Phone # Day
Fax
INCOME Gross income before deductions (by hour, week, month, year)
Mortgagor Income
Co-Mortgagor Income
Other Income
# of people in family
Amount of cash down payment you have or can get?
DEBTS Debts with more than 12 months to pay
Car Payment
Boat Payment
Furniture
Child Support
Visa Card
Visa Card
Mastercard
Sears
Penneys
Other Credit Card
Other Credit Card
Misc. Loan
Other
Other
Other
My Minimum Housing Requirements Are (fill out for custom search):
# of bedrooms
# of baths
# of car garage needed
Lot Size/Acreage
Approx. Sq. Feet
Comfortable Monthly Payment
Locations/Cities I Would Consider
Have a question - Ask Me!!!
Send me a Relocation packet for your area!
Please send me a list of HUD/VA homes in my area