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1
Last Name
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2
First Name
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3
Current Address
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4
Email Address
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5
Phone Number(s)
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6
Occupation
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7
Do you currently...
Rent
Own
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8
If you rent, when does your lease end?
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Date
Month
Day
Year
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9
If you own, do you need to sell before purchasing a new home?
Please Select
Yes
No
Maybe
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Please Select
Yes
No
Maybe
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10
Children's First Name(s) & Ages
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11
Pet's Name(s) & Breed
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12
Is there an additional buyer?
*
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Yes
No
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13
Last Name
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14
First Name
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15
Current Address
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16
Email Address
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17
Phone Number(s)
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18
Occupation
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19
How soon would you like to close on your new home?
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20
Do you currently...
Please Select
Rent
Own
Neither
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Please Select
Rent
Own
Neither
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21
If you rent, when does your lease end?
-
Date
Month
Day
Year
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22
If you own, do you need to sell before purchasing a new home?
Please Select
Yes
No
Maybe
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Please Select
Yes
No
Maybe
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23
What is the target price for your new home?
*
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24
What is your ideal monthly payment?
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25
Have you been pre-approved by a lender?
*
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Yes
No
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No
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26
If you have been pre-approved by a lender, please provide the lending company's name
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27
If you have been pre-approved, what type of pre-approval have you received?
Conventional
VA
FHA
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28
Do you have a downpayment?
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Yes
No
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Yes
No
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29
How long do you plan to live in your new home? i.e. 10, 15, 30 years
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30
Is this your first home?
Yes
No
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31
How many homes have you owned? (please skip if you answered no to the previous question)
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32
Desired Area(s)/Neighborhood(s)
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33
School/District Target
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34
What kind of home are you interested in?
One Story
Two Story
Split Entry
Multi-level Condo or Townhouse
Duplex
New Construction
Less than 5 years old
10+ years old
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35
Desired Location
Suburbs
Urban/City
Rural
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36
Minimum Square Footage Required
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37
Desired number of bedrooms
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38
Desired number of bathrooms
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39
Are you interested in a home that may be in need of renovations?
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Yes
No
Maybe
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Yes
No
Maybe
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40
Desired age of the home
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41
Exterior
Brick
Stone
Wood
Any
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42
Landscape
Large Yard
Small Yard
More than an acre
Fenced
Tree-lined Neighborhood
Cul-de-sac
Waterfront
Private lot
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43
Exterior Features
Garage
Patio/Deck
Front Porch
Pool
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44
Flooring
Carpet
Hardwood/Laminate
Ceramic Tile
Vinyl
Stone
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45
Interior Features
Air Conditioning
Eat-in Kitchen
Dining Room
Finished Basement
Unfinished Basement
Family/Great Room
Jack & Jill Bathroom
In-Laws Quarters
Home Office
Upstairs Laundry Room
Main Floor Laundry Room
Downstairs Master Bedroom
Walk-in Closets
Fireplace
Workshop
Plenty of Windows/Natural Light
Open Concept
Granite Countertops
Marble Countertops
Quartz Countertops
Appliances Included
Built-in Shelving
Attic
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46
Community
Parks
Dog-Friendly
Pools
Basketball Court
Tennis Court
Gated Community
Golf Course
Close to Shopping
Close to Schools
Walk to School
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47
Additional Notes
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