REQUEST FOR INTERNATIONAL RELOCATION ASSISTANCE

COMPLETE THIS FORM AND THEN CLICK ON THE "SUBMIT REQUEST FORM" BUTTON AT THE BOTTOM 

Name: 
Street Address: 
City: 
State / Province: 
ZIP or postal code:  

Country: 

Home telephone number: 
Work telephone number: 
extension: 
Fax telephone number: 
e-mail address: 
Preferred contact methods: 
E-mail Residential phone Business phone fax 

Estimated Date of Arrival:


Employer: 
If military or Gov't employee, paygrade: 

Destination
Destination area, state/province, country: 
(example: Anchorage, AK, USA)

HOME SELECTION PREFERENCES

NOTE:  Try to keep your preferences from being too restrictive; choose absolute minimums, maximums, and things you absolutely must have.  Being overly selective will result in having very few homes to pick from.
TYPE OF HOME: 
Single Family Home

Townhome
Condo
Recreational Cabin
Mobile Home
AGE OF HOME
 (check as many as apply)
 
  
Existing Home  New Home  Build Me A Home   
FLOOR STYLE OF HOME
 (check as many as apply)
    
Split Entry  Tri-Level  Ranch  Raised Ranch
Two Story Multi-Level Log Chalet / A-Frame
Hillside Ranch Cabin    
Approximate Price Range:  to  
Minimum Number of Bedrooms:  Minimum Number of Baths: 
Minimum Garage Size (number of cars):  Minimum Square Footage of Home: 


Interior Features (pick as many as you wish)
Wood Stove Fireplace Refrigerator
Oven/Range Dishwasher Disposal
Drapes Family Room  Spa and/or Sauna
Workshop Microwave Basement
Den Security System Washer/Dryer
Dining Types (pick as many as you wish)
Dining Area Formal Dining Room Breakfast Nook/Bar
Exterior Features (pick as many as you wish)
View Handicap Access Deck
RV Parking Fence Garage Door Opener
Fixer Upper Paved Street Airplane Access
Horse Property Mother In Law Apartment Greenhouse
Waterfront Covenants  
Lot Size (choose the minimum size you must have)
Less than 1 Acre 1 to 2 Acres  2 to 3 Acres 
3 to 5 Acres 5 to 10 Acres  10 or More Acres 
GAS 
(if no preference, don't check)
SEWER
(if no preference, don't check)
WATER
(if no preference, don't check)
Natural  Public  Public 
Propane Septic  Private Well 
Fuel Oil Holding Tank  Community Well 
Financing Preferences
Veterans Administration  Conventional  FHA
Non-Qualifying Assumtion Qualifying Assumption Cash

Requests or comments: 


To clear request form and start over, press this button: .
To submit your request, press this button: 



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