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Buyer Information

Name*	Day Phone*	Evening Phone*
Email Address*	How did you hear about us? Street Sign Newspaper Ad News Article Post Card Letter Ad Magazine Flyer Grocery Shopper Car Sign Search Engine Internet Ad Radio Billboard Business Card Referral Other
Amount of down payment available*	Maximum amount you can pay monthly to own a home*
How much could you come up with later?	When?
Is your credit?Good Fair Ugly
What area(s) are you interested in living in?
City/Town/Suburb* County/Borough/Province* State*
Tell us what you are looking for... (check all that apply)
Ranch 2-Story Split Foyer Split Level Does not matter All Brick Brick Siding Wood Siding Vinyl Siding Stucco Does not matter Unfinished Basement Crawl Space Slab Does not matter Finished Garage Carport Number of cars Does not matter Number of bedrooms Number of bathrooms Formal living rm Formal dining rm Fireplace Age of home
Is there anything else we need to know to help you find your dream home?