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		Self Evaluation
My Credit Is: Near Perfect Less than Perfect Poor I want to improve my credit scores: Yes No

		Current Residence Information
Please select from the following lists. Currently What I Want Resident Status: Primary Residence Secondary Residence Vacation Home Rental Resident Status: Primary Residence Secondary Residence Vacation Home Rental Relationship: Legal Owner Renter Landlord Property Manager Potential Buyer Other Relationship: Legal Owner Renter Landlord Property Manager Potential Buyer Other Type of Property: Choose One Single Family Home Multiple Family Home Townhouse Condominium Manufactured Home Mobile Home Type of Property: Choose One Single Family Home Multiple Family Home Townhouse Condominium Manufactured Home Mobile Home Overall Condition: Choose One 1 Poor 2 3 4 5 6 7 8 9 10 Excellent Overall Condition: Choose One 1 Poor 2 3 4 5 6 7 8 9 10 Excellent Approx. Square Footage: Approx. Square Footage: # of Bedrooms: Choose One 0 1 2 3 4 5 # of Bedrooms: Choose One 0 1 2 3 4 5 # of Bathrooms: Choose One 0 1 1.5 2 2.5 3 3.5 4 4.5 5 # of Bathrooms: Choose One 0 1 1.5 2 2.5 3 3.5 4 4.5 5 Parking: Choose One Garage Carport On Street Off Street No Covered Parking Parking: Choose One Garage Carport On Street Off Street No Covered Parking Spaces: Choose One None 1 Car 2 Cars 3 Cars More than 3 Spaces: Choose One None 1 Car 2 Cars 3 Cars More than 3 Planning to move: Choose One Right Away Within 45 Days Within 90 Days Within 6 Months Within 12 Months