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Buyer Information
First Name:
Last Name:
Address:
City:
State:
Alberta
Alaska
Alabama
Arkansas
American Samoa
Arizona
British Columbia
California
Colorado
Connecticut
Dist of Columbia
Delaware
Florida
Fed. St. of Micronesia
Georgia
Guam
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Manitoba
Maryland
Maine
Marshall Islands
Michigan
Minnesota
Missouri
Northern Mariana Islands
Mississippi
Montana
New Brunswick
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
Newfoundland
New Mexico
Nova Scotia
Northwest Territory
Nunavut
Nevada
New York
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Puerto Rico
Quebec
Rhode Island
South Carolina
South Dakota
Saskatchewan
Tennessee
Texas
Utah
Virginia
Virgin Islands
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Yukon Territory
Zip Code:
Home Phone:
Work Phone:
Mobile Phone:
E-mail Address:
Are you looking to purchase:
In the next 30 days
30-90 days
Whenever I spot a good enough deal
Property Type
Single Family Home
Multi Family Home
Townhouse
Condominium
Manufactured Home
Rent/Own
Rent
Own
Pre-Approved?
Yes
No
I would like a 1st/2nd
option regarding rates
and terms for a mortgage:
Yes
No
City of Interest #1:
City of Interest #2:
City of Interest #3:
City of Interest #4:
City of Interest #5:
City of Interest #6:
City of Interest #7:
City of Interest #8:
City of Interest #9:
City of Interest #10:
State of Interest:
Alberta
Alaska
Alabama
Arkansas
American Samoa
Arizona
British Columbia
California
Colorado
Connecticut
Dist of Columbia
Delaware
Florida
Fed. St. of Micronesia
Georgia
Guam
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Manitoba
Maryland
Maine
Marshall Islands
Michigan
Minnesota
Missouri
Northern Mariana Islands
Mississippi
Montana
New Brunswick
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
Newfoundland
New Mexico
Nova Scotia
Northwest Territory
Nunavut
Nevada
New York
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Puerto Rico
Quebec
Rhode Island
South Carolina
South Dakota
Saskatchewan
Tennessee
Texas
Utah
Virginia
Virgin Islands
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Yukon Territory
Min. # of Bedrooms:
Min. # of Bathrooms:
Price Range:
Minimum
Maximum
Monthly Payment:
Down Payment:
The ideal home for me
would be (describe):
Promo Code:
Are you interested in:
Buying for yourself
Lease Option
Buying an investment property to rent out
Buying an investment property to rehab
Financing
(A current credit report may or may not be obtained)
(We will use this information to qualify you for a loan through a traditional lender or through our owner financing program)
Social Security Number:
Date Of Birth:
Date Of Employment:
Job Title:
Employer Name:
Date Of Residence:
Gross Monthly Income:
Monthly Rent/Mortgage:
Housing Status:
Rent
Own
Checking Account:
Yes
No
Savings Account:
Yes
No
Marital Status:
Single
Married