Congratulations on your new home!

Please fill out the following questions to help us assist you with the setup process.

Name *

First

Last

Email *

Please provide an email address for communication.

Phone *

Please provide your phone number.

Next

SalesmanBrent DeenMatt MurphyCarter AdamsJohn Ryzman

Address *

Address Line 1

City

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Zip Code

What is the address of your new home?

Is your new home going to be placed within city limits? *--- Select Choice ---YesNoI'm Checking On It

Dirt pads are required by the state, would you like us to quote you a dirt pad?YesNo

How flat is the land? Very FlatSome Terrain ChallengesNot Flat at All

Will you need land clearing and if so how much?

• A few limbs to get the house on the property.
• Need some brush clearing.
• Need to remove 3 or fewer small trees.
• Need to remove a bunch of trees.
• Need to remove a house.
• Need a lot of garbage hauled off.

Please select all that apply.

How far will the house be off the main road? 0-100ft100ft - 150ft150ft - 200ft200ft +

What utilities will you need?

• New electrical service
• New water service
• New septic
• A well

If you are needing new electric, are you wanting to go overhead or underground?OverheadUndergroundUnsure

Choose which one you would like, we cannot guarantee its possible.

Does your property have electricity at the road?YesNoUnsure

Is there already a house on the property that is staying?YesNo

Who is your electric provider in the area?

Please provide the name of your electric company.

How is the entry to the property?

• A little ditch entering the property.
• A big ditch entering the property deeper than 3ft.
• Has a short culvert that's shorter than 20 ft.
• Has a large culvert that's longer than 20 ft.
• Has fence that will need to be opened.
• Has Gate
• Has neighbros property that will be easily accessible.
• Other

Please select all that apply.

Does your property have water at the road?YesNo

Will you need a water meter?YesNo

If yes, please reach out to the water supply company that services your area.

Who is your water company?

Please provide the name of your water company.

What size is your property?Under 1 acre1-5 acres5+ acres

and there How

Do you need an old home either demoed or moved?YesNo

Would you like to upgrade your skirting to Lifetime metal skirting?YesNo

Pick improvements you would like us to bid?

• Porches
• Driveway
• Sidewalks
• Gutters
• Mailboxes
• Concrete Runners

Please select all that apply.

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