* First name:
* Last name:
* Email:
* Date of Birth (mm/dd/yy):
* Social Security #: --
* Street address:
* City:
* State:   
* Zip:
* Day Phone:
Evening phone:
Cell phone:
* Are you a homeowner? Yes   No
What is the current
value of your home?
What is your
mortgage balance?
* Employer:
* Occupation:
* Time on job: years  months
* Annual income
before taxes:
If self-employed, what is the last two years average taxable income claimed on tax returns:
* Type of business:
* Amount available for
down payment:
* I am: Married   Single
We would like to visit
Hawks Bluff on:
Have you ever visited Tennessee? Yes   No
If yes, where?
If you find a property to your liking
what would best describe your reason
for purchasing:

Other (please explain):
Do you plan on building
a home?
Yes   No
If yes, when?
Do you own any properties other
than your primary residence?
Yes   No
If yes, where?
Do you have any friends or
relatives in Tennessee?
Yes   No
If yes, where?
Are you or a guest a licensed
real estate agent or broker?
Yes   No
Were you referred by anyone who
has already purchased or been
to Hawks Bluff?
Yes   No
If yes, what is the person's name?
Please check any box that applies
to your recreational activities:
Horseback Riding
How did you hear about Hawks Bluff?
If you were referred to us by an agent or broker, what is the person's name?
If you were referred to us by any other method than listed above, please list it here:
Please send me periodic updates about Hawks Bluff: Yes   No
Please initial:
Please review and make sure that all fields are filled and the information provided is correct. If married, both husband and wife must complete a form.