Welcome to Smart Home Builders, Inc.

Please print this form, fill it out and Fax it to (804) 458-2494.
Or if you perfer you can e-mail this information to buddy@smarthomebuildersinc.com

Name:_________________________________________________________________

Address:_______________________________________________________________

City:_________________________________ State:_________ Zip:________________

Phone:_____________________________________________________

Email:_____________________________________________________

Best time to call:___________________________________________

Where do you plan to build:______________________________________________

Planned move date:_____________________________________________________

Do you own land:______________________________________________________

Home style (Ranch, Cape etc.):___________________________________________

Home Size:__________________________________________________________

# Bedrooms:_________________________________________________________

# Baths:_____________________________________________________________

Garage:_____________________________________________________________

Basement:___________________________________________________________

Pgk. type (turnkey, wholesale, Builder assisted):________________________________

Home price:__________________________________________________________

Land price:___________________________________________________________

Complete price:_______________________________________________________

Cash for down payment:________________________________________________

Credit status:________________________________________________________

Gross income:________________________________________________________

Comments:__________________________________________________________

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