____

 








 

RELOCATION QUESTIONNAIRE

CENTURY 21 Across Atlanta and Gina Carr's Team thank you for considering our services in connection with your review of the Atlanta metropolitan area and perhaps your eventual move to our city.  We will be happy to provide as much assistance and information as you desire.  Please fill in the following information.  Be sure to include your e-mail address, and we will send you the information you request.

With best regards.

Gina Carr-Kyle
CENTURY 21 Across Atlanta
Team Leader and Owner

Equal Housing Opportunity 

Required fields are indicated by an * below.

Section 1. Personal Information:

*Name: 
*Address: 
*City:  *State: *Zip:
*Phone (H): 
Phone (W): 
*E-Mail: 
Sex:  Male  Female 
Marital Status:  Married  Single 
Age:  Under 25  26-35  36-45  46-55
56-65  Over 65 
No. of Adults in household:     No. of Children: 
Occupation:
Education: High School Graduate  Some College
College Graduate  Post Graduate 

*Mortgage: Pre-qualified by Lender?  Yes  No 
Are you being transferred by your company?:  Yes  No 
*Your Approximate Move Date: 

Section 2. I Am Interested In More Information On:
North Atlanta
South Atlanta
Bartow County 
Cobb County 
Cherokee County 
Dekalb County 
Forsyth County 
Fulton County 
Gwinnett County
Hall County 
Paulding County 
Pickens County		 Carroll County
Clayton County 
Coweta County 
Douglas County 
Fayette County 
Henry County 
Rockdale County 
Other

Section 3. I Plan To:
 * Buy  Rent
* House  Condominium  Apartment
Price Range: $75,000-$125,000  $125,000-$175,000 
$175,000-$250,000  $250,000-$325,000 
$325,000-$400,000  $400,000-$500,000 
$500,000-$750,000  $750,000-$1,000,000 
>$1,000,000  Other  
Household Income: $40,000-$50,000  $50,000-$75,000 
$75,000-$100,000  $100,000-$200,000 
$200,000-$300,000  >$300,000 

 

2006 Century 21 Across Atlanta ® and sm trademark and servicemark of Century 21 Real Estate Corporation. Equal housing opportunity. Each Office Is Independently Owned And Operated.