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INFLUENCER LANDING PAGE
1
Influencer Name - HIDE
The Name of the Influencer
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2
Influencer First Name - HIDE
The First Name of the Influencer
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3
Influencer Username - HIDE
The Auther ID of the Influencer at Enfluenc.com
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4
Influencer Team - HIDE
The Influencer Team
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5
Influencer ID - HIDE
The Auther ID of the Influencer at Enfluenc.com
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6
Name
*
This field is required.
First Name
Last Name
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7
Email
*
This field is required.
example@example.com
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8
Phone
*
This field is required.
Please enter a valid phone number.
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9
Are you a veteran?
*
This field is required.
YES
NO
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10
Where are you planning to Buy, Sell or Build?
*
This field is required.
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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11
Zip Code where you're planning to Buy, Build or Refinance
*
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12
Do you currently have any accounts in active dispute with one or more of the three credit bureaus: Equifax, Experian or TransUnion?
*
This field is required.
Yes
No
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13
Your estimated credit rating
*
This field is required.
Excellent (740-850)
Good (640-739)
Fair (580-639)
Could Use Work (Below 580)
I Don't Know
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14
Have you ever had a property foreclosure?
YES
NO
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15
When did your foreclosure occure? Please explain what happened.
0/0
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16
Have you ever had a bankruptcy?
YES
NO
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17
Has your bankruptcy been discharged?
YES
NO
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18
When did your bankruptcy occure? Please explain what happened.
0/0
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19
Do you currently have any judgments against you?
YES
NO
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20
When did your judgement(s) occure? Please explain what happened.
0/0
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21
Do you currently have any credit accounts in collection?
YES
NO
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22
How many accounts are in collections? Please explain what happened.
0/0
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23
I currently
*
This field is required.
Rent
Own
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24
I'm looking to
*
This field is required.
Purchase
Refinance
Build
Sell
Buy and Sell
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25
Household Income
*
This field is required.
Under $50,000
$50,000 - $100,000
$100,001 - $150,000
Over $150,000
None
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26
How much money do you have to put towards a down payment?
*
This field is required.
$5,000 - $10,000
$10,001 - $30,000
$30,001 - $50,000
$50,001 +
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27
Timeframe For Buying
*
This field is required.
ASAP
1-3 months
4-6 months
6+ months
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28
Are you currently working with a realtor?
NO
YES
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29
Message (optional)
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30
Email From Name
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31
Email From Email
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