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13
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1
Name
First Name
Last Name
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2
Email
example@example.com
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3
Phone Number
Please enter a valid phone number.
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4
Do you currently own or have you ever owned a home?
YES
NO
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5
When would you like to be in your new home?
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6
When does your lease expire? How much do you currently pay in rent?
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7
Are you currently working with a Realtor?
YES
NO
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8
Do you currently work full time or part time?
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9
Are you hourly or salary? How much do you make per hour/per year?
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10
How long have you been employed at your current position? *Please provide start date, month, and year if possible. *(If you have been at your current position for less than 2 years, please provide job title, start, and end date.)
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11
How much money do you have saved? Do you have access to a 401k to help with your down payment?
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12
What is your current credit score?
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13
How much would you like your mortgage payment to be?
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