Name*:

E-mail*:

Recommended method/time to contact you:

At what point are you in your search for a custom home builder?
Just looking (gathering information)
Narrowing down local builders
Ready to build

Do you already own a lot or land to build upon? Yes No

If so, where is the lot located County and City:

Is the lot located within city limits? Yes No

Is septic or sewer required? Septic Sewer

If septic, has a perk test been done? Yes No

If so, what size drainfield and what type of system was the land approved for?

Is there an existing structure that will need to be demolished? Yes No

Is there an existing water source? Yes No

Are utilities already at the lot? Yes No

If you do not own land, do you need help locating a lot or acreage? Yes No

Which areas would you prefer to live? (City/County)

Budget range (not including land):
$100,000 to $150,000
$150,000 to $200,000
$200,000 to $250,000
$250,000 to $300,000
$300,000 and over

Preferred square footage?
Up to 1000 Sq. Ft
1500-2000 Sq. Ft.
2500-3000 Sq. Ft
3000-3500 Sq Ft.
Over 3000 Sq. ft

Type of home:
Rambler
Two Story
Split Level
Tri Level +

No. of bedrooms:
No. of full bathrooms:
No. of half bathrooms:

No. of garage stalls:

Do you have financing lined up? Yes No
Do you need help finding a lender? Yes No