1. Contact Information |
| How did you hear about us? |
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| Owner’s Name: |
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| Address |
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| City | State | Zip |
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| Subdivision |
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| Phone |
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| Fax |
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| Cell Phone |
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| Email Address |
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2. Buyer Information |
| What price range are you looking for? |
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| How much do you have for a down payment? |
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| What area are you looking to buy a home? |
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| How many bedrooms & bathrooms? |
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| How many square feet do you need? |
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| Is a garage mandatory? |
Yes No |
| How is your credit? |
Excellent
Good
Okay
Ugly |
| Are you ready to buy now? |
Yes
No |
| How soon are you looking to move? |
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| Comments: |
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