What is your name?
What is your area code and phone number?
Why do you want to buy a home?
Have you owned a home before?
How much thought and effort have you already put into buying a new home?
How soon would you like to move?
Do you own your current home, or are you renting?
How long have you lived there?
Have you put your current home up for sale?
Will you need the money from sale of your current home to buy a new one?
How much do you expect to get from the sale of your current home?
Will you have to convert any other assets (such as stocks or bonds) into cash to buy a new home?
What price range are you considering for your new home?
For how long do you expect to own the new home?
How much cash do you (or will you) have for a downpayment, closing costs and reserves?
How much do you feel you can spend for housing on a monthly basis?
How much are your monthly expenses?
Where are you employed? How long have you worked there?
What is your monthly income from employment?
Do you have any other sources of income?
Do you expect your income to increase significantly in the near future?
Have you had credit problems in the past?
Have you reviewed your credit reports recenlty?
Property Type:
Preferred Location

I Would Like to :
(check all
that apply)

Buy
Sell
Rent
Other
Structure Types Build/Specify:
(check all
that apply)
Single Family
Multi-Family
Commercial/Industrial

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in accordance with the Do Not Call Requirements
to phone or email from a representative.