SELF INTERVIEW FORM

Please provide the following contact information:

Name
Work Phone
Home Phone
FAX
E-mail

My Housing goals are:


What type of house are you looking for?

Rancher
Split Foyer
Split level
Two Story
Any of the above

How many bedrooms will you need?


How many bathrooms will you need?


Please describe other features you are looking for including special needs or ADA needs.


What is your target price?


What is your Annual income Borrower (1)


What is your annual income Borrower (2)


What is your total income?


Cash available for down payment


Monthly rental-current


or value of existing home


Mortgage balance


Monthly mortgage payment


Monthly Debt note: exclude mortgage and rental payments


Monthly Payments against total debt


Credit history

No problems
will need help solving some problems

credit score


If you have credit problems please explain, we can give you confidential advice about how to overcome some problems.

Send information on one of Interstate Ventures communities at or

Choose one of the following:

Odd Lot Construction  Have a Lot Purchasing a lot I will need a lot

Please indicate the approximate location you are interested in.


If you prefer to send by fax or mail:
HOUSING MARKETING ASSOCIATES
12116 ARBIE ROAD, SILVER SPRING, MD. 20904
Phone: (410) 879-4242
FAX (301) 622-3033
E-MAIL:SR9889@AOL.COM

SALES CENTERS

MAYFIELD WOODS
RHONDA COURT & CARLSON LANE
WINDSOR MILL, MD. 21244

THE COVE
GEORGE ST. & WOODLAND AVE
MIDDLE RIVER, MD. 21220

Phone:(410) 879-4242
Fax: (301) 622-3033
E-mail:SR9889@aol.com
www.interstateventures.com
www.CustomHomeSimplified.com
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Copyright © 2008 Interstate Ventures. All rights reserved.
Revised: 06/13/10