Interest List for Consumers 1. Question Title * 1. Name Question Title * 2. E-Mail Address Question Title * 3. Home Phone Question Title * 4. Business Phone Question Title * 5. Cell Phone Question Title * 6. Address Question Title * 7. City Question Title * 8. State AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Question Title * 9. ZIP Code Question Title * 10. Approved method(s) of contact. Select all that apply. Business Phone Cell Phone Home Phone E-Mail U.S. Mail Question Title * 11. What is prompting you to consider a move? (Select all that apply) Job Relocation Change in Family Status Tired of Renting Retirement Want a larger home Want a smaller home Want better schools Want more features/amenities Want investment Want to be closer to work Want a nicer neighborhood Want less maintenance Want a newly constructed home Other (please specify) Question Title * 12. When would you like to be in your new home? 1-3 months 4-6 months 7-12 months More than 12 months Question Title * 13. How did you become aware of Capitol Avenue Townhomes? (Select all that apply.) Direct Mail Newspaper Magazine Signage TV E-Mail Radio Referral Realtor Website Internet Search Other (please specify) Question Title * 14. What is your current living situation? Rent Own Lease Other (please specify) Question Title * 15. Do you currently reside in a House Apartment Townhome Condominium Other Question Title * 16. What is your expected price range for your new home? <$200,000 $200,000 - $249,999 $250,000 - $274,999 $275,000 - $299,999 $300,000 - $324,999 $325,000 - $349,999 $350,000 - $374,999 $375,000 - $399,999 $400,000 or more Question Title * 17. What is your desired size range? <1500 SF 1500 - 1599 SF 1600 - 1699 SF 1700 - 1799 SF 1800 - 1899 SF 1900 - 1999 SF 2000 - 2099 SF 2100 - 2199 SF 2200 SF or more Question Title * 18. Where do you feel comfortable with your monthly payment? (including mortgage, insurance, and taxes) <$1000 $1000 - $1199 $1200 - $1399 $1400 - $1599 $1600 - $1799 $1800 - $1999 $2000 - $2199 $2200 - $2399 $2400 or more Question Title * 19. How many bedrooms will you need? 1 2 3 More than 3 Question Title * 20. Including yourself, how many people will be living in your new home? Thank you for taking the time to fill out this guest information form. This will be used to better serve you and place you into the home of your dreams. A sales associate will contact you soon regarding your request. Done