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Demeeka Cobb
1
Name
*
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First Name
Last Name
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2
Email
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example@example.com
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3
Influencer Name
The Name of the Influencer
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4
Influencer ID
The Auther ID of the Influencer at Enfluenc.com
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5
Phone
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Please enter a valid phone number.
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6
Are you a veteran?
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YES
NO
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7
Where are you planning to Buy, Sell or Build?
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AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
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8
Zip Code where you're planning to Buy, Build or Refinance
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9
Do you currently have any accounts in active dispute with one or more of the three credit bureaus: Equifax, Experian or TransUnion?
*
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Yes
No
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10
Your estimated credit rating
*
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Excellent (740-850)
Good (640-739)
Fair (580-639)
Could Use Work (Below 580)
I Don't Know
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11
Have you ever had a property foreclosure?
YES
NO
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12
When did your foreclosure occure? Please explain what happened.
0/0
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13
Have you ever had a bankruptcy?
YES
NO
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14
Has your bankruptcy been discharged?
YES
NO
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15
When did your bankruptcy occure? Please explain what happened.
0/0
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16
Do you currently have any judgments against you?
YES
NO
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17
When did your judgement(s) occure? Please explain what happened.
0/0
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18
Do you currently have any credit accounts in collection?
YES
NO
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19
How many accounts are in collections? Please explain what happened.
0/0
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20
I currently
*
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Rent
Own
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21
I'm looking to
*
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Purchase
Refinance
Build
Sell
Buy and Sell
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22
Household Income
*
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Under $50,000
$50,000 - $100,000
$100,001 - $150,000
Over $150,000
None
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23
How much money do you have to put towards a down payment?
*
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$5,000 - $10,000
$10,001 - $30,000
$30,001 - $50,000
$50,001 +
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24
Timeframe For Buying
*
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ASAP
1-3 months
4-6 months
6+ months
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25
Are you currently working with a realtor?
YES
NO
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26
Message (optional)
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27
Email From Name
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