Online Application

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Please complete the following form if you are interested in purchasing one of our homes. If you have questions please refer to the Frequently Asked Questions page on this website. You may also contact us for additional information using one of the methods on the "Contact Us" page on this website.

Primary Applicant Information

(* Indicates a Required Entry)

Applicant Last Name:

Applicant First Name:

Applicant Middle Name:

Mailing Address (House Number and Street Name):

Apartment/Unit/Suite Number:

City/Town:

State/Region/Province:

Postal/Zip Code:

Country:

Your Primary Citizenship is from the country of ?

Email Address:

Contact Information

(Please provide at least one telephone number)

Home Telephone Number:

Work Telephone Number:

Mobile Telephone Number:

Facsimile Number:

Other Number:

Best Number To Contact You:

Best Time to Contact You:

Employer Information

Occupation:

Company/Employer Name:

Address (Number and Street Name):

Apartment/Unit/Suite Number:

City/Town:

State/Region/Province:

Postal/Zip Code:

Country:

Number of Years you have worked for this Employer:

Annual Gross Income (before taxes are removed):

Co-Applicant Information

(Complete this section ONLY if more than one person is purchasing the house)

Co-Applicant Last Name:

Co-Applicant First Name:

Co-Applicant Middle Name:

Mailing Address
(House Number and Street Name):

Apartment/Unit/Suite Number:

City/Town:

State/Region/Province:

Postal/Zip Code:

Country:

Co-Applicant Contact Information

(Complete this section ONLY if more than one person is purchasing the house)

Home Telephone Number:

Work Telephone Number:

Mobile Telephone Number:

Facsimile Telephone Number:

Other Telephone Number:

Your Primary Citizenship is from the country of ?

Co-Applicant Employer Information

(Complete this section ONLY if more than one person is purchasing the house)

Occupation:

Company/Employer Name:

Address (Number and Street Name):

Apartment/Unit/Suite Number:

City/Town:

State/Region/Province:

Postal/Zip Code:

Country:

Number of Years you have worked for this Employer:

Annual Gross Income (before taxes are removed):

Relationship to primary applicant:

Purchase Information

Which house model are you interested in purchasing:

When would you like to move into your New Royal Palm Estates home?

How do you plan to pay for your new Royal Palm Estates home:

Which options are you interested in?
(Check all that apply.)

Enhanced Security Package
Dual House Voltage 110/220
Emergency Backup Power System
Enhanced Air Conditioning
Lawn Irrigation System
Not Sure
Other (please list in the comments section.)

Comments

Please provde any additional comments or information you would like us to know so that we can assist you in purchasing one of our luxury homes:

The information I am providing on this application is true and correct to the best of my knowledge. I understand that Royal Estates Group, Ltd. and its authorized agents will use this information to assess my basic eligibility to purchase a home. I understand that Royal Estates Group Ltd. will not sell or provide this information to any third party without my consent. I further understand that by completing this application, I am not committed to purchase a home nor is Royal Estates Group, Ltd. obligated to sell me a home. Any commitment to purchase or sell must be in the form of a written Purchase Agreement accepted by both parties.

I Accept

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