Purchaser/Current Home Profile Form

To request a guarantee on the sale of your current home, we invite you to fill-in and print the Microsoft Word version of this form (DOC ) and fax it to us.

You also have the option to print and fill-in an Adobe PDF version of this form (PDF) and fax it to us.

Alternatively, complete our online form below.

Service Areas:  All major metropolitan areas in AL, DC, GA, IL, MD, MN, OH, TX, and VA.

Upon receipt, we will contact you within one (1)business day. If you have any questions about this form, please e-mail info@homeguaranty.com or call us at (214) 526-8200 or toll-free at (800) 856-2133. Our hours are M-F 8:30 to 5:30 (CST).

Please read our Guaranteed Sale Conditions prior to filling out the form.

We look forward to the opportunity to serve you!

CONTACT PERSON:

First Name:
Last Name:
E-Mail:	Example: bob@aol.com

OWNERS & LOCATION:

Owner:
Co-Owner:
Home Address:
City:
County:
State:	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming
Zip:
Owner's Work #:
Co-Owner's Work #:
Owner'sHome #:
Co-Owner'sHome #:

PROPERTY INFORMATION:

No. of Stories:	1 2 3 4+
No. of Bedrooms:	1 2 3 4 5 6+
No. of Bathrooms:	1 1.5 2 2.5 3 3.5 4+
No. of Living Areas:	1 2 3 4 5+
No. of Dining Areas:	1 2 3+
Wood-Burning Fireplace:	None 1 fireplace 2 fireplaces 3 fireplaces
Size of Patio or Deck:	None 1-25 Square Feet 26-50 Square Feet 51-100 Square Feet 101-200 Square Feet 201-300 Square Feet 301-400 Square Feet 401-500 Square Feet Larger than 500 Square Feet
Covered Patio:	No Yes
Garage Location:	Front Back Side No Garage
Garage Size:	No Garage 1 Car 2 Car 3 Car 4 Car 5 Car or More
Carport:	None 1 Car 2 Car 3 or more
Converted Garage:	No Yes
Pool:	No Yes
Spa:	No Yes
Type of Heat:	Central Gas Central Electric Central Pump Panel Gas Floor Furnace Gas Space Gas Coal Heat Oil Heat Other None
Type of A/C:	Central Electric Central Heat Pump Window Units Swamp Cooler None
Roof Material:	Composition Wood Shingle Slate Clay Tile Concrete Tile Standing Ridge Metal Built-Up
Exterior Material:	Brick Brick Veneer with Wood Siding Brick Veneer with Vinyl Siding Brick Veneer with Aluminum Siding Brick Veneer with Stucco Wood Siding Vinyl Siding Aluminum Siding Stucco Other
Type of Foundation:	Concrete Slab Pier and Beam Basement Other
Type of Fence:	Wood Brick Chain Link Other None
Subdivision Name:
Built By:
Year Built:
Year Purchased:
Original Cost:
Square Footage:
Lot Size:
1st Mortgage Balance:
Interest Rate:
Type of Financing:	Unknown FHA Conventional VA Owner None
Lender Name:
2nd Mortgage Balance:
Total Monthly Payment:
Date of Last Refinance:	Example: 11/01/2003
School District:

Please describe any special improvements that you have made to your home.

Please describe any special features of your home.

Please describe any recent replacements that you have made to your home.

Please describe any repairs that your home needs.

If you have any additional comments about your home, please note them here.

Tax Value of Your Home:
Value Supported by Market:
Listing Value per Realtor:
Selling Value per Realtor:
Name of Realtor if home is listed:
Source of Funds for New Home:	Cash on hand Equity from sale of current home Both equity and cash on hand
No. of Inside Dogs:	0 1 2 3 4+
No. of Outside Dogs:	0 1 2 3 4+
No. of Cats:	0 1 2 3 4+
Sleepers During Day at Your Home:	No Yes
Business Operated in Home:	No Yes
Near Busy Streets:	No Yes
Near Power Lines:	No Yes
Near Tall Towers/Structures:	No Yes
Near Apartments/Commercial Area:	No Yes
Near Less Expensive Homes:	No Yes

What one thing have you enjoyed most about your home?

What repairs will be needed to pass a general inspection?

Any facts that could adversely affect the value of your home?

Please indicate below the best time(s)and telephone numbers for our office to contact you.

Will your home pass a termite inspection?	No Yes
If your home sells quickly, do you have temporary quarters?	No Yes
For how much will your home lease?
Have you been pre-qualified for the loan on your new home?	No Yes

 

Name of Home Builder:
Name of Subdivision:
Price of New Home:
New Home Address:
New Home City:
New Home County:
New Home State:	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming
New Home Zip:
Builder Representative:
Rep's Office #:
Rep's Voice Mail/Pager #:	(if known)
Rep's Fax #:
Estimated Closing Date:	Example: 11/01/2003
On Contract:	No Yes