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Basic Information - Section One
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Select
one category
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First
name (required)
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Last
name (required)
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Spouse
name
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Your
home street address (required)
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Your
home city, state, zip (city
+ state required)
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Email
address (required)
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Day
telephone (required)
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Preferred
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Evening
telephone
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Preferred |
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Cell
phone
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Preferred |
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Qualify
for Rebates and Credits
(Our agent referral service costs
you nothing so any cash rebates are cash to you to do with
as you please.)
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I
am interested in in real estate commission rebates |
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I
am intetested in moving, mortgage, and other service credits |
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Move
Information
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Type
of move
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Planned
purchase date (required)
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Moving
to town/city and state
(within 20 miles) (city +
state required)
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Type
of home to purchase
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Number
of bedrooms
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Number
of bathrooms
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Price
range up to (required)
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Status
of move
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Are
you presently working with a real estate agent?
(required)
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Have
you contacted any movers for estimates? (required)
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Additional
comments or special requirements
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Where
did you hear about us?
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Corporate
Relocation Information (for people being relocated
by their employer).
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Employer
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Position
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Relocation
benefits
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Optional
No-commit, No Cost Mortgage Pre-approval Application
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I
already have been pre-approved for a mortgage
I have not yet been pre-approved (please answer questions
in this section)
I am a first time home buyer
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What
is the range of your combined household annual earnings?
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Monthly
income
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Current
rent or monthly mortgage
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Current
total monthly installment payments
(car loans, student loans)
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Currnent
total minimum credit card payments
(Visa,MasterCard,Discover, etc.)
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Current
cash reserve
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Are
you self-employed?
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Yes
No |
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How
many late payments in the past two years?
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