*Indicates
required fields
All information is strictly confidential and will
not be shared with any other individuals or companies. |
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Full
Name*: |
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Co-Buyer
Name: |
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Address*: |
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City*: |
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State*: |
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Zip
Code*: |
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Home
Phone*: |
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Work
Phone: |
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Email
Address*: |
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Co-Buyer
Home Phone: |
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Co-Buyer
Work Phone: |
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Co-Buyer
Email Address: |
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Best
Way To Contact You: |
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Best
Time to Call: |
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Do
you currently rent or own your property: |
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If
own, Do you need help selling your home? |
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Will
you need to sell in order to buy? |
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Current
Rent or Mortgage Payment: |
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Are
you working with an Agent? |
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Agent
Name: |
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Price
Range: |
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Desired
Monthly Payment: |
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Down
Payment: |
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Bedrooms: |
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Bathrooms: |
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How
many people will be living in home? |
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Children's
grades in School? |
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How
soon to you need to be in a new home? |
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Reason
for buying? |
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What
3 things do you desire most in your new home? |
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What
area features are important to you? |
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How
much drive time are you willing to spend driving to work? |
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Where
do you work? |
Buyer
Co-Buyer
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Length
of current employment? |
Buyer
Co-Buyer
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How
long have you been looking for a new home? |
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Have
you seen a home so far that you really like? |
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When
is the best time and day for you to look at home? |
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How
many homes would you like to tour before buying? |
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If
we found you the right home today would you be in position to
go ahead with a purchase? |
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Has
anyone explained to you how the bank will qualify you for a
new loan? |
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Are
you pre-approved? |
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What
lender are you planning on working with? |
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Do
you have any judgments, liens, divorce proceedings pending,
foreclosures, or bankruptcies? |
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Total
PITI you are qualified for? |
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Loan
amount you are qualified for? |
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How
did you hear about us? |
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Additional
Comments/Info: |
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