Date of Transfer:

-- mm/dd/yy

Date of Proposed House Hunting Trip:

-- mm/dd/yy

Is this home you are purchasing a First Home?

Yes No

Is this home you are purchasing a home for retirement?

Yes No

Have you ever owned a property before?

Yes No

If so, where?

Do you presently own a home?

Yes No

If you own a home now, will you be selling it to move?

Yes No

Style of home preferred. Select any of the following options that apply:

Bungalow     Two Story       Split Level
Duplex       Condo/Townhome  Apartment or Rental Unit
Farm         Hobby Farm      Investment Properties
Vacant Land  Semi Detached

Number of Bedrooms

Number of Bathrooms

Please select features you would like in your new home:

Dining Room    Eat-In Kitchen     Family Room
Rec Room       Den or Study       Fenced Yard
Garden Area    Fireplace
Garage         Close to Busses & Shopping 
 

Other Requirements For Your New Home:

Desired Price Range:

Preferred Location:

City
Rural Area
Planned Community

Preferred Metro Area:

Halifax
Dartmouth
Bedford
Sackville

Other Area (please indicate):

Where will you be working?

Halifax
Dartmouth
Bedford
Other

Where will your spouse be working?

Halifax
Dartmouth
Bedford
Other

Distance (in km) you would not mind traveling to your workplace:

Your Occupation:

Your Spouse's Occupation:

Please enter your children's names and ages:

Types of School(s):

Public       Private               English
University   Other Post-Secondary  French Immersion 

Enter Any Medical Needs (i.e. wheelchair accessibility, near medical services, etc.):

Recreational Needs (i.e. specific hobbies, etc.):

List Any Pets You Have:

Please add any other concerns, requirements, etc. that you desire that may not be mentioned in this questionnaire: