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1. Personal Information
*
1
. Please enter your information
Please enter your information
Name:
Address:
Address 2:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP/Postal Code:
Country:
Email Address:
Phone Number:
2
. Where did you hear about us?
Where did you hear about us?
Craigslist
Newspaper
Sign
Referral
Other
3
. Why are you buying a home?
Why are you buying a home?
Personal residence
Rental property
Retirement account
For your child/ family member to live in
Other
4
. How soon are you looking to purchase?
How soon are you looking to purchase?
Immediately
1-3 months
3-6 months
6+ months
*
5
. How much do you want to spend on your mortgage? Check all that apply.
How much do you want to spend on your mortgage? Check all that apply.
Under $1,000
$1,000-$1,200
$1,200-$1,400
$1,400-$1,600
$1,600-$2,000
$2,000-$2,500
$2,500-$3,000
Above $3,000
6
. In what part of town would you like to purchase? Check all that apply
In what part of town would you like to purchase? Check all that apply
Phoenix (south of Camelback)
Phoenix (north of Camelback)
Scottsdale
Peoria
Mesa
Glendale
Sun City
Tempe
Chandler
Ahwatukee
Gilbert
Surprise
El Mirage
Cave Creek
Queen Creek
Maricopa
Other
7
. Is there a specific area you want us to search for you (zip code, school district, area (between x street and y street, south of z street). Try to be as specific as possible.
Is there a specific area you want us to search for you (zip code, school district, area (between x street and y street, south of z street). Try to be as specific as possible.
8
. What type of home would you like to buy? Check all that apply.
What type of home would you like to buy? Check all that apply.
Single family home
Condo
Townhouse/Patio home
Multi-unit home (2-4 units)
9
. Do you have any friends or family members interested in buying?
Do you have any friends or family members interested in buying?
Name:
Phone:
Email:
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