Your preferred agent is L. MICHELLE TERRELL. Please confirm. *
Full Name *
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Current Address *
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City *
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State *
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Zip Code *
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Marital Status *
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Single
Head of Household
Married
Divorced / Currently Divorcing
Widowed
Number of Dependents *
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Birthdate *
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Home Phone Number
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Mobile Phone Number *
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Google Voice, NextPlus+ or any VoIP number
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Email Address *
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List of Hobby / Interests
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Income Bracket per Household *
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Background
Who else influences your buying decisions?
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How many family members are in your household? *
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What are the names of family members and friends who should see the property before you put a contract on it?
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Are you a 1st Time Buyer? If not, how many homes have you owned prior to this one? *
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Do you currently rent or own? *
When does your lease expire?
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Features
In what area do you think you want to reside? *
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In what town / township do you think you want to reside? *
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What type of real estate do you require? *
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How many amenities to you require? *
1
2
3
4
5
No Preference
Bedrooms
Bathrooms
Living Areas
Garages
1
2
3
4
5
No Preference
Bedrooms
Bathrooms
Living Areas
Garages
If owning, do you prefer the master en suite on the 1st or 2nd level? *
How many stories and what style do you prefer? *
Your answer
Are there any other special requirements / amenities you need? (i.e. tile, hardword flooring, certain appliances, built-in bookshelves, corner lot, etc...)
Your answer
What color schemes do you prefer in the following rooms?
No preference
Traditional
Modern American
European Modern
Art Deco
Spanish Influence
East Orient Influence
Living Room / Great Room / Library
Master En Suite
Bedrooms
Bathrooms
Kitchen
No preference
Traditional
Modern American
European Modern
Art Deco
Spanish Influence
East Orient Influence
Living Room / Great Room / Library
Master En Suite
Bedrooms
Bathrooms
Kitchen
Clear selection
On a scale of 1-6 with one being the MOST important and six being the LEAST important, please rank the following features *
1
2
3
4
5
6
Schools / Day Care
Location
Proximity to work
Acreage
Price
Other Non listed factors
1
2
3
4
5
6
Schools / Day Care
Location
Proximity to work
Acreage
Price
Other Non listed factors
Do you prefer rural or city living?
Your answer
Is a HOA (Home Owners Association) important to you? *
How much do you want to spend on a property per month? *
Your answer
How long have you been looking for a residence? *
Your answer
To date, have you seen any properties you like? If so, provide an address or MLS lisitng.
Your answer
If you answered yes to the aforementioned questions, please tell us what you liked about the property?
Your answer
What is the maximum age of a home that you will consider? (i.e. 30yrs, 40yrs old, etc...) *
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What is the minimum square footage you require? *
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What is your timeframe (if any) for purchasing a property? *
Your answer
Financing
Have you been qualified by a lender to purchase a home? *
If you have been qualified, please enter your lender's name and/or contact information.
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How much money do you currently have for a down payment? *
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What time of financing will you require? *
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What is your ideal monthly mortgage amount? *
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Have you had credit problems? *
Do you have a copy of your credit report? *
How long do you plan to live in your home? *
Your answer
Are you interested in a home buyer's assistant program?
Clear selection
What is the maximum length of time you will wait to become qualified through a homebuyer's program? *