House Hunters Buyer's Application

Today's Date

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

City, State, Zip*

Street Address

Street Address Line 2

CityState

Zip Code

Mobile Phone

Please enter a valid phone number.

Day Phone*

Please enter a valid phone number.

Evening Phone

Please enter a valid phone number.

Fax Number

Please enter a valid fax number.

Email Address*

example@example.com

Do you have an out of the ordinary circumstance/lifestyle that changes the way you have to house hunt? Anything that sets your story apart from an average house hunting experience?

Where are you moving to (city, state)

Occupation

Are You Single or Married?

SingleMarried

Age

Do you work for the government? If yes,

LocalStateFederal

Do You Own or Rent?

OwnRent

Real Estate Agent Name

Real Estate Company

Agent Phone Number

Please enter a valid phone number.

Is your agent aware you applied to be on the show?

YesNo

Describe the one thing you insist on having in your new home. What personal experience(s) are driving this need?

What is the top thing on the list for your tour partner and why?

How has your house hunting experience been so far? Has the process been affected by your tour partner?

What are the biggest differences between you and your tour partner in this house search? (What do you not see eye to eye on? Do you have personality differences?)

Who is in your household?

Why do you want to move?

When do you plan to move? Have you made an offer?

And finally, please attach a picture of yourself.*

By accepting the terms and submitting this form, you acknowledge and agree that:

You are at least 18 years of age.
Any and all information disclosed to or obtained by me or by my representatives concerning or relating to the Program, including but not limited to the premise and concept of the program in which I am intended to appear, the nature of certain events in the program, my activities, the order in which events occurred, and the outcome of the program (collectively, the "Confidential Information"), shall be strictly confidential, and I hereby agree not to disclose, and to cause each of my representatives not to disclose, any such Confidential Information to any individual or entity. I acknowledge and agree that any disclosure of such Confidential Information by me or by my representatives in violation of this Agreement shall constitute a material breach of this Agreement and shall cause CDI irreparable injury. I further agree that in the event of any disclosure by me or my representatives in violation of this Agreement, I shall be liable to CDI and I agree that CDI shall have the right to utilize all available remedies under the law, including both financial and injunctive relief, to seek retribution for any breach of this confidentiality provision by me or any party. I expressly agree that CDI shall be entitled to any and all relief available to CDI as reasonable compensation for the significant harm which will be incurred by me as a result of any such disclosure and/or breach of this Agreement by me or any party.

I have read and agree to the Terms and Conditions above.*

Yes

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