Home Order Land Land Order Form *** Red Fields are Required 1 Customer Info Customer Name: Email: Telephone: 2 Builder Info Builder/Dealer Name: Sales Agent: Builder Email: 3 Land and Home Info Type of Home: Single Wide Double Wide Off Frame Modular On Frame Modular Site Built Log Home Panelized Utilities: Well Septic Public Water Public Sewer Land Topography: Level Rolling Wooded Pasture Clear Rural Subdivision Hilly Steep Stream/Creek Water View Mountain View - Seasonal Mountain View - Year Round Road Type: Paved Gravel Dirt State Private Right of way to road County: State: Lot Price Range: $0 to $25,000 $25,000 to $50,000 $50,000 to $75,000 $75,000 to $100,000 Over $100,000 Size of Lot: Preferred School Primary: Middle: High School: Subdivision: Yes No Provide any additional information here: Loan Approved: Yes No Cash:Yes No All Requests are sent to office of Find Your Lots for assignment. You will be contacted within 2 business days.