| Contact Information |
| Name: |
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| Phone: |
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| E-mail: |
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| Address: |
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| City: |
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| State: |
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| Zip: |
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| Are you pre-approved? |
Yes No |
| If yes, what is your ideal monthly payment? |
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| How much are you putting down? |
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| What is your time frame to make a purchase? |
/ |
| Do you currently rent or own? |
Rent Own |
| Ideally you are looking for ... |
| How many bedrooms? |
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| How many bathrooms? |
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| Is a basement mandatory? |
Yes No |
| What areas are you wanting to stay within? |
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| Which is more important? |
Having large bedrooms for individual time
Large living area for entertaining family and guests? |
| Do you like to cook or go out to eat? |
Cook Go out |
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