Client Information Form
  • Client Information Form

    Client Information Form

    Let us get to know you and your needs
  • Personal Information

    Personal Information

    We just want the basics.

  • Primary Contact

  • Age*
  • Format: (000) 000-0000.
  • Total Family Income
  • Would you like to add a Secondary Contact?

  • Secondary Contact

  • Age
  • Format: (000) 000-0000.
  • What is the purpose for your new home?*
  • Do you currently own a home?*
  • Will you be selling your home?*
  • Do you have a Realtor?*
  • New Home Information

    New Home Information

    What are you looking for?
  • What is the square footage you are looking for?*
  • How many bedrooms are you wanting?*
  • How many bathrooms are you wanting?*
  • Do you prefer a garage or a carport?*
  • Do you have any other storage needs? i.e. Four Wheelers, Boat, Side by Side, etc.*
  • Financial Information

    Financial Information

    Let's get a plan together!
  • How will you be financing your home?*

  • We have a lender that has been with us from the beginning. We'd love to connect you with them!

  • Do you have land you would like to build on, or would you like to see what land we have to offer?*

  • Whether you're looking for in-town lots, or out of town acreage, we have you covered! We'd love to find the perfect spot to meet your needs!

  • Land Information

    Land Information

    Where are we going to build your dream home?
  • Is your land apart of a subdivision?*
  • Does your land have a gate code?*
  • Do you have a survey for this land?*
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Is your land in the city limits?*
  • Is your land in a flood plain?*
  • Is your land subject to Extraterritorial Jurisdiction?*
  • Are there any existing structures on your land?*
  • Is your land associated with an HOA?*
  • Format: (000) 000-0000.
  • Is there a water meter or working well on the land?*
  • Will your home's water be supplied by a well or by a municipal service?*
  • Is there an existing electrical transformer on your land?*
  • It would look similar to the one in the photo below.*
  • We need a photo of the transformer with the numbers in clear view. This is needed for the electric service application.

  • That's ok. We can get that information later. 

  • Last Questions

    Last Questions

    Some general information for us to get a better understanding of how best to serve you
  • How did you hear about Hayhurst Brothers Homes?*
  • What type of home are you most interested in?*
  • Which 2 Hayhurst Brothers Portfolio Homes are you most interested in building? You can view each of these floor plans on our website.*
  • Which 2 Hayhurst Brothers Simple Life Series are you most interested in building? You can view each of these floor plans on our website.*
  • Should be Empty: