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1
Full 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
Residence Status
Rent a Home
Own a Home
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5
Are you buying a home alone or with someone else?
Alone
With someone else
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6
How's your credit score?
Excellent
Good
Average
Fair
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7
Have you ever owned a home?
No
I already sold my home (Before 2022)
I still own my home and need to sell to purchase
I still own a home and keeping it as a rental
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8
Employment Status
Employed (W2)
Self-Employed (1099)
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9
Annual Income
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10
What industry are you in?
Education
Healthcare
Law Enforcement
Military
Other
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11
Additional Comments
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