Home Seeker Questionnaire
Name
First Name
Last Name
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What is your primary email address?
example@example.com
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Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
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Preferred contact method
Phone
Email
Both
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What is your preferred way to pay for your home?
I will be paying in cash and do not need an interest loan/financing.
I will need financing.
I am getting my own loan.
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What is the maximum monthly price range that you can afford?
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What is the maximum amount that you can put down?
1,500
2,000
2,500
3,000
3,500
4,000
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Preferred Bed and Bath
2 beds, 1 bath
2 beds, 2 bath
3 beds, 2 bath
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Which city would you like to live in/near?
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Community Request
ALL ages community
Age restricted community
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Have you had any evictions?
YES
NO
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If you answered "YES" to having a previous eviction, please explain. (Type N/A if you answered "NO")
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Do you have any criminal history?
YES
NO
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If you answered "YES" to having criminal history, please explain. (Type N/A if you answered "NO")
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Monthly Income
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Approximate Credit Score
400-499
500-550
551-600
601-650
651+
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Current Employer
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Length of Employment (please specify number of years/months)
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Do you currently own a mobile home, residential home or condo?
No, I am currently renting.
Yes, I currently own a mobile home.
Yes, I currently own a residential home.
Yes, I currently own a condo.
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How soon would you like to move?
1-2 weeks
2-4 weeks
30+ days
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Do you have a social security number (SSN) or IT number?
Social Security Number
IT Number
Submit
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