Request Information

Full Name:

Address:

City:

State:     Zip:
        

Home Phone:

Work Phone:

Email:

Reason for inquiry:
- Choose - Plan to build within a year Collecting information for future consideration Just curious

I plan to build within: - Choose - 30 DAYS 1-3 Months 3-6 Months 6-12 Months 12+ Months

Builder Status
- Choose - I need help. Please have a builder contact me I am already working with a builder I am a professional builder I want to buy factory direct & will be my own general contractor

If you have a builder, please provide us with as much information about your builder as possible.

Building Lot Status
Own building lot
Town  

County   State

Don't own building lot, would like to build in
Town  

County   State

Current housing status
- Choose - Rent Own, don't need to sell to build Own, must sell before building Other - please explain in comments

New home residence type
- Choose - Primary Residence Second / Vacation Home Investment Property

Financing Status
- Choose - Financing obtained Financing in progress Financing not yet pursued Financing not needed - cash purchase   

What styles of homes are you interested in? (check all that apply)
RANCH  CAPE  TWO STORY  CONTEMPORARY  OTHER (CUSTOM)

# Bedrooms  - Choose - One Two Three Four or More

# Baths  - Choose - One Two 2 1/2 or More

Garage Capacity  - Choose - One Car Two Car Three Car None

Approximate square footage  - Choose - 1000 or Less 1000 to 1500 1500 to 2000 2000 to 2500 3000+

Estimated price range without land  - Choose - $80,000-$100,000 $100,000-$130,000 $130,000-$175,000 $175,000-$250,000 $250,000-$400,000 $400,000-UP

How did you hear about Custom Built Modular Homes?

Additional comments

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