CUSTOMER CONTACT INFORMATION FORM                                                        Valerie Sheppeard-Hankins, Coral Beach Realty, LLC

Today's Date

Contact Information

Name

Mailing Address

City

State/Province

Zip Code

Home Phone

Cell Phone

Fax Number

Email

Preferred method of contact (choose one)

Home PhoneCell PhoneEmailCell Phone Text MessageChat (Facebook)Chat (Google Hangouts)

When do you plan to make your purchase? (choose one)

Now (as soon as I find something)3 - 6 months6 - 12 months1 - 1.5 yrsNot sure

Property Search Information - RESIDENTIAL/COMMERCIAL

What type of property would you like to purchase?

HouseHouse with AptHouse with 2+ AptsCondoCommercial property

How many bedrooms?

studio123+income producing

How many acres? (Residential & Commercial ONLY)

0 - .25.26 - .49.50 - 1 acre1+ acres

Preferred Options

Water ViewFlat landBeach/Water frontFencedGated Community

Occupancy Options:

None (completely updated and ready for immediate occupancy)Minimum (cosmetic such as paint, cabinet hardware, ceiling fans, etc... work can be done while property is occupied)Updating needed but occupancy ready (new cabinets, door, windows...but currently in working order) Major work needed / handyman special - not usable (new cabinets, windows, floors, roof, etc)Gut project - everything new needed

What areas do you prefer?

East EndMid-IslandWestNorthSouth

What is your price range?

N/A	$0 - $30,000	$31,000 - $50,000
$51,000 - $70,000	$71,000 - $90,000	$91,000 - $120,000
$121,000 - $160,000	$161,000 - $190,000	$191,000 - $250,000
$261,000 - $300,000	$300,000 - $350,000	$350,000+
Other

If other, please specify $:

Property Search Information - LAND (complete for land ONLY purchase)

What type of property would you like to purchase?

Land (Residential)Land (Commercial)

How many acres?

0 - .25.26 - .49.50 - 1 acre1+ acres

Preferred Options

Flat SlopeGentle SlopeMedium/Steep SlopeBeach/Water frontGated CommunityWater View

What areas do you prefer?

East EndMid-IslandWestNorthSouth

What is your price range for LAND?

N/A	$0 - $30,000	$31,000 - $50,000
$51,000 - $70,000	$71,000 - $90,000	$91,000 - $120,000
$121,000 - $160,000	$161,000 - $190,000	$191,000 - $250,000
Other

If other, please specify $:

Financing Information

Are you a First Time Home/Land Buyer?

YesNo

How will you be funding your purchase?

FinancingCashOwner Financing

Have you spoken to a US Virgin Islands licensed lender?

YesNo

Have you been pre-approved by a lender?

YesNo

If yes, for how much?

Comments

Please share any comments with me that would allow me to better assist you.

Contact Me

Valerie Sheppeard-Hankins, Broker/Owner/GRI

CORAL BEACH REALTY, LLC

(340) 719-3494 / (340) 643-9704

valerie@coralbeachrealtyusvi.com

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