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ARE YOU CURRENTLY WORKING WITH A REALTOR TO FIND YOUR NEXT HOME? YesNo
If yes - Agent's name:
If yes - Agent's Company:
If yes - Agent's Phone:
If yes - Agent's Email:
WHEN ARE YOU THINKING OF PURCHASING? SoonIn 1-3 monthsIn 6 monthsWithin 1 year1 year +No specific plans
WHAT ARE YOUR CURRENT LIVING ARRANGEMENTS? Own HomeOwn Townhouse/CondoRent Home/ApartmentOther
DO YOU NEED TO SELL YOUR CURRENT HOME FIRST? YesNo
WOULD YOU LIKE TO BE CONTACTED BY OUR PREFERRED LENDER FOR A FREE HOME LOAN CONSULTATION? YesNo
AGE GROUP: Under 3030-3940-4950-5960-69Over 70
LIVING STATUS: Single MaleSingle FemaleMarriedPartners
NUMBER IN HOUSEHOLD: 1234+
EMPLOYMENT: AdministrativeManagerialRetiredSemi-EmployedHigh-TechProfessionalSales/MarketingOther