About you.

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Please complete the following questionnaire and return it to us as soon as possible. Exchanging this information prior to seeing properties helps us find exactly the right home for you. This questionnaire will help clarify what's really important to you. I am here to provide you with all the resources and information you need to buy real estate.

I am confident that I can offer you knowledge and tools most other agents can’t.

Or if you prefer contact me for further information (888) 871- 4678 Ext.: 0

Thanks and I look forward to assisting you in all of your real estate needs!
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Image Field
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Full Name* This field is required.
First Name
Last Name
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E-mail* This field is required.
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Cell Phone Number* This field is required.
Area Code
Phone Number
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Birth Date* This field is required.
Month
Day
Year
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Can I Contact You Via Text Message
Yes
No
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Home Phone Number
Area Code
Phone Number
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Work Phone Number
Area Code
Phone Number
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Extension
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Spouse/Partner Full Name
First Name
Last Name
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Birth Date
Month
Day
Year
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E-mail
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Cell Phone Number
Area Code
Phone Number
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Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
United States
Please Select
Afghanistan
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American Samoa
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Cyprus
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The Gambia
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Marshall Islands
Martinique
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Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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Do You Have A FaceBook Page
Yes
No
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Which are your favorite flowers and your spouse/partner (if applicable)?
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And your and spouse/partner color is (if applicable) ?
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Your and spouse/partner (if applicable) favorite dessert is?
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What are your/family(if applicable) hobbies?
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Names and Ages Of People Who Will Be Moving With YouWho will be moving with you. Press enter to input the next name and so-on.
Names/Ages
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Do You Have Pets
Cats(s)
Dog (s)
No Pets
Other
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Are you the only decision maker when it comes to the purchase of this home?
I am the ONLY decision maker
My spouse/partner will help me make a decision
I have a family member who will help me make the decision
My child/children will help me make the decision
Other
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Why are you moving?
Better Area
Tired Of Renting
Living With Parents
Need A Bigger Place
Need A Smaller Place
Other
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How long have you been looking for a house
Great!!
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And tell me, what is your motivation for buying?
Good for you !!!
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How soon would you like to be moved in to your new home?
ASAP- within the next 60 days
90 days
6 months
a year from now
Other
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Here comes the fun part, take a moment and describe your ideal home to me.
Awesome!!
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What cities/areas would you like to live in?
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What's the most you feel you can afford for a monthly payment?
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Have you spoken with a mortgage banker? Lender?
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How much have you been pre-qualified for?If applicable
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Down payment?If applicable
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About availability, when is the best time for you to go and see properties? Ex. Sunday and Saturday morning, Monday-Friday 3 pm-7 pm
Huge
Large
Normal
Small
Ok
Ok
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How did you hear about us?
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Who Referred You?
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Referrals are important to me!!!

If you know of anyone who we can help, let us know! We are never too busy for your referrals! Please type their name and number
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Full Name
First Name
Last Name
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Phone Number
Area Code
Phone Number
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How would you prefer to be contacted?
English
Spanish
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Did you apply for the loan on yourself? If not please Provide co-borrower(s) name(s)* This field is required.
Should be Empty: