New Home Buyer Registration

CLIENT REGISTRATION FORM

To qualify for a new home purchase rebate at closing, this form must be
completed and submitted to the Indy Home Marketing Group at least
72 hours prior to your FIRST visit to a builder's sales office. You must also
provide the Builder, or Builder's representative, with our notification form
HERE stating you are being represented exclusively by us as your Realtor
and Buyer-agent, should you decide to purchase a new home. Completing
this form is risk-free and does NOT obligate you to a new home purchase.

Full Name: Required

Spouse's First Name:

Address:

City:

State:

Zip Code:

Day Phone:

Evening Phone:

E-mail Address: Required

Best method to contact you:
E-mail Telephone

Have you been pre-qualified for
a mortgage loan? Yes No

Are you a first-time home
buyer? Yes No

Do you currently: Own? Rent?

Total in household?

How soon do you want to move-in?

What style of home do you want?

What's your price range including lot?

How many bedrooms do you want?

Tell us what Builder homes you plan to visit:

Beazer Homes

Davis Homes

Portrait Homes

Dura Builders

Arbor Homes

Centex Homes

C.P. Morgan

Estridge Homes

Hansen & Horn
M/I Homes
Drees Homes
Gunstra Builders
Ryland Homes
Pulte Homes

Tell us the location of the homes for each selected builder: Required