Form For Buyers Name* Phone*Email* Are you a first time home buyer?Select OneYesNoAre you going to sell your current home to buy the new one?Select OneYesNoOtherHow soon would you like your home on the market? MM slash DD slash YYYY Please ExplainHow would you like to list your home?Select OneBella Terra RealtyGet a referral for an agent in my areaYou can list with us or we can get you a referral for an agent in your areaWhat type of loan are you interested in?Select OneFHA LoanVA LoanConventional LoanCash OfferWhat location would you like to live in? i.e. specific zip code, between certain streets, a subdivision etcWhat is your price range?Select Oneless than $100,000$100,000 - $150,000$150,000 - $200,000$200,000 - $250,000$250,000 - $300,000$300,000 - $350,000$350,000 - $400,000$400,000 - $450,000$450,000 - $500,000$500,000 - $550,000$550,000 - $600,000$600,000 - $650,000$650,000 - $700,000$700,000 - $750,000$750,000 - $800,000$800,000 - $850,000$850,000 - $900,000$900,000 - $950,000$950,000 - $1,000,000$1,000,000 +What type of residence are you looking for?Select OneSingle Family ResidenceCondoTownhomeMulti-UnitManufactured HomeHow many bedrooms would you like to have?Please enter a number from 1 to 20.How many bathrooms would you like to have?Please enter a number from 1 to 20.Is acreage important?Select OneYesNoHow many acres would you like?Please enter a number from 0 to 100.Do you prefer homes in an HOA?Select OneYesNoNew Home FeaturesPlease Select the following items you'd like to see in your new home: Hardwood Floors Laminate Floors Carpet Gas Cooking - Double Oven Fireplace - Gas / Pellet Stove First Floor Master Fresh Paint Central Air Evap Coolers Three Car Garage Two Car Garage One Car Carport Two Car Carport Additional Storage Deck / Patio Pool Fenced Yard Private Yard New Roof New Windows New HVAC Sloped Driveway Level Driveway Finished Basement Unfinished Basement Walkout Basement Other Information we should knowUpload an image of the house you're sellingMax. file size: 29 MB.NameThis field is for validation purposes and should be left unchanged.