| In order to help me to meet your real estate needs more effectively, please complete the following: Information marked with an * is required, all other information is optional.
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Client Information |
| Tell me about you |
| *Name:
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*Email:
(E-mail)
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| Address:
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Home Phone:
Mobile Phone:
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Spouse's Name:
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| Are you interested in Buying or Selling a home? |
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| Other Information |
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| Preferred method of communication |
| Email:
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Home Phone:
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Mobile Phone:
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Other:
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| Best time to call: |
| Current housing |
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Are you working with a Realtor?
How soon do you want to move?
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| Current home owner |
Will you need to sell your home to be able to buy?
Is your home currently on the market?
What do you estimate the selling price of your home to be? $
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| Housing preferences |
Condo
Townhouse
Single Family Home
Multi-Family Home
Vacant Land |
Number of bedrooms:
Number of baths:
Number of stories:
Number of acres:
Approximate square footage:
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| Housing financial information |
Type of financing:
Price range: $
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Mortgage: $
/month
Have you consulted a lender?
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| Housing style preferences |
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| Location preferences |
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