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ARPLLC COMMUNITY/PROPERTY SEARCH PROFILERENTAL ONLYABOUT THIS QUESTIONNAIRE AND THE “PERFECT MATCH SYSTEM”:This questionnaire has been developed to assist you in locating a home/community that most matches your desired criteria. Once it is complete, one of our “match experts” will review your information and begin searching our network for possible properties/communities that “match”. Once you have completed the questionnaire, feel free to e-mail back to us or you may fax the form to: 480-838-9047. CALL 1-800-478-3864 FOR ASSISTANCE!You may use the highlight feature located on the top right row of the “Word” tool bar to complete most sections of this questionnaire.Todays date: * Name(s): Address: City:State: Zip: * Main Phone: Cell Phone:* E-mail address: Alternate E-Mail Address:Are you currently in Arizona?What time period range are you seeking?Are you flexible for partial months/time periods?Contact information: Once a community/property has been located that meet your criteria, how would you like to be contacted: Any of my posted contact information By e-mail only please* Birth Year Range (Person #1): 1952-61 1937-51 1928-36* Birth Year Range (Person #2): 1952-61 1937-51 1928-36Other:REQUESTED COMMUNITY CRITERIA, FACILITIES AND AMENITIES: * Type of Community Desired: Retirement Manufactured Housing Retirement Park Model/RV All Age Other:Geographic General Area Desired: (Circle all that apply) Mesa Apache Junction Chandler Tempe Phoenix Glendale ScottsdaleFirst Choice: Second Choice: Third Choice: REQUIRED PROPERTY CRITERIA:* Number of Bedrooms/BAs required: 1BR/1BA 2BR/2BA 2BR+Den/2BA 3BR/2BA Other:* Minimum Square Feet Required: 400 sq. (Park Model) 400-800sq. 800-1000 sq. 1000-1200 sq. 1200-1500sq. 1500 sq.+ Other:Please describe what you want (be as detailed as possible):Are you a smoker? Yes No Yes, but only outside* Will you require a property in which there has not been someone smoking? Yes No NegotiableRENTAL PROPERTY CRITERIA:PLACE AN “X” IN FRONT OF THE RATE AND PROPERTY TYPE THAT BEST DESCRIBES YOUR RENTAL PREFERENCE:Manufactured Home Doublewide ($1800-$2200 per/mo) Park Model w/AZ Room ($1700-$2000 per/mo) Park Model ($1600-$1800 per/mo) OR Manufactured Home Single Wide OTHER: Please specify:Are you considering a possible purchase this trip? YES NO (If yes, please complete “Possible Purchase” section)Have you wintered/visited Arizona before? If so, please tell us where you stayed and what you did or did not like about your experience: Do you prefer to be in a specific community? If so, which one?*Will you be bringing a pet during this rental stay? If so, please indicate yes here: and complete pet information below.If you are not bringing your pet this time but plan on buying a property and will be bringing a pet in the future, please indicate yes here: * Pet Information: Number of Pets:Type of Pet(s): Cat Small Dog (Lap Dog) Med Dog Large Dog (over 40 lbs) Other Breed of Dog(s):*Community Amenities:Please indicate here your absolute minimum requirements of a community in which you would consider a purchase (i.e. Heated pool, tennis, etc.):Would you consider yourself very active, moderately active or mildly active?Do you have friends/relatives that come here? If so and you want to be within a 10 mile radius of your friends, please indicate yes here:Will you require planned group activities?Please specify any special interests, hobbies or sports you enjoy that would be a consideration when choosing a community:* Will you require a community that is handicap accessible? must have strongly prefers would like it doesnt matterIf you bought a property would you consider using it as a rental income property during the months you would not be occupying it? Yes NoPOSSIBLE PURCHASE OPTION:Have you considered a lease with option to buy? YES NOHave you ever owned a manufactured home or park model in Arizona? If you were planning to buy which would best describe your possible price range?Please list example reference codes from the www.azActiveR web site which most closely match the type of property in which you may be interested:1. CR501ME ($139,900.00) Four Star Community Manufactured Housing Community2. CR591ME ($71,900.00) Four Star Community Manufactured Housing Community3. CR665ME ($149,900.00) Four Star Community Manufactured Housing Community4. LCB50ME ($54,900.00) Three Star Community Manufactured Housing Community5. CN360 ($9,900.00) Three Star Community Manufactured Housing Community6. MR2603 ($54,900.00) Five Star Park Model/RV Resort* Please indicate here which one of the above most closely matches your criteria:PLACE AN “X” IN FRONT OF AMOUNT THAT BEST DESCRIBES YOUR PRICE RANGE: Under 15K 15-25K 25-35K 35-50K 50-60K 60K-75K 75K-100K 100K-125K 125K+ Other: Other important considerations when making a purchase decision: I would like to subscribe to AzActiveRs free e-newsletter containing industry updates, special incentives, editorials, helpful hints, classified ads, and local merchant offers and coupons.Comments, questions or suggestions about this questionnaire or the www.azActiveR web
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