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First Name
Last Name
Phone Number
Email Address
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Phone
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What is the preferred time of contact?
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Morning (8am-12pm)
Afternoon (12pm-5pm)
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Do you have a down payment?
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How much? Enter the amount
Have you had a bankruptcy, short sale or foreclosure in the past three years?
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How will the property be used?
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Primary
Second Home
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Have you had any mortgage late payments in the last three years?
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Estimated Credit Score
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580-669 ( FAIR )
670-739 ( GOOD )
740-799 ( VERY GOOD )
800-850 ( EXCEPTIONAL )
What do you plan to spend on your new home?
Do you currently own a home?
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What will you do with your current home?
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Rent
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Type of Home
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Current Monthly Income
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