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Name:
Phone#:
Email:
Address:
City:
State:
Zip Code
Are you relocating: Yes No
Which cities would you prefer to move to?
When do you anticipate purchasing your new home? with in 4 month with in 6 month with in a year more than a year
Type of Home:
Single Family Condo/Townhouse Multi-family
Mobile Home Farm Land Only
Approximately priced between: $200,000 $250,000 $300,000 $350,000 $400,000 $450,000 $500,000 $550,000 $600,000 $650,000 $700,000 $750,000 $800,000 $850,000 $900,000 $950,000 $1,000,000 1,000,000+ to $250,000 $300,000 $350,000 $400,000 $450,000 $500,000 $550,000 $600,000 $650,000 $700,000 $750,000 $800,000 $850,000 $900,000 $950,000 $1,000,0000 $1,000,0000+
Number of Bedrooms: 1 2 3 4 5
Number of Bathrooms: 1 2 3 4 5
I Interior Features & Preferences:
Living Room Family Room
Fireplace Hardwood Floors
Den / Study Laundry Room
Other Important Interior Features:
Exterior Features & Preferences:
Swimming pool Spa
Waterfront Garage
Tile roof Fenced
Other Important Exterior Features:
Have you ever been pre-approved or pre-qualified for a mortgage? Yes No
If yes, for how much?
Do you have a down payment? Yes No
If yes, what is your maximum commitment?
Have you had a credit report done lately? Yes No
Please use this space for any other comments or questions you might have.
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