Free Relocation Information Form
Kansas and Missouri
including Leavenworth, Lansing, Ft. Leavenworth,
Leavenworth County and Greater
Northwest Kansas
Moving to what state:
KS, MO
KS
MO
Moving to what city (or areas):
-- Any city --
Atchison
Basehor
Bonner Springs
Easton
Jarbalo
Kansas City
Lake Lotawana
Lansing
Lawrence
Leavenworth
Mc Louth
Olathe
Oskaloosa
Overland Park
Parkville
Platte City
Tonganoxie
Winchester
When do you plan on moving?:
Within next 30 days
0 to 3 Months
4 to 6 Months
6 to 12 Months
1 Year or Longer
Not sure when
Price Range:
Price range
Under $100,000
Between $100,000 - $200,000
Between $200,000-$300,000
Between $300,000-$400,000
Between $400,000 - $600,000
Between $600,000 - $800,000
Between $800,000 - $1,000,000
Over $1 million
Type of Property:
Any type home
Single Family House
Townhouse
Condo
Vacant Land
Commercial/Investment
Bedrooms:
Any number of bedrooms
1 or more
2 or more
3 or more
4 or more
5 or more
Desires: (Garage, fenced yard, comments, etc.)
Name:
!
Address:
!
City:
!
State:
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
AB
BC
MB
NB
NF
NS
NT
ON
PE
PQ
SK
YT
Zip Code: !
Phone Number:
Best Time To Contact You:
E-Mail Address:
!
Likely Date of First Visit:
Reason for Relocation:
Choose one
Job Change
Retirement
Other
Moving within the area
Would you like to know the market value of the real estate you currently own?
Yes No