Your Name
Your Title
Your NMLS#
Your Business Name
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Your Phone Numbers
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What kind of loan are you looking for?
Home
Refinance
Home
Purchase
Commercial
Purchase
What is your credit score?
No credit (0)
Poor (Less than 580)
Fair (580-620)
Good (620-680)
Very Good (680-740)
Excellent (740+)
What is your yearly household income?
Less than $50,000
$50,000 to $75,000
$75,000 to $100,00
$100,000 to $150,000
$150,000 to $250,000
More than $250,000
What type of property is it?
Single Family
Condo/Townhouse
2-4 Units
Construction
What is the property used for?
Primary Residence
Vacation Home
Investment
Purchase price and down payment
Purchase Price
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Down Payment
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What stage are you at in the process?
I'm still looking for
the right home
I have identified a
specific house
I have made an
offer on a house
My offer has been
accepted
When do you expect to buy?
Within 30 Days
Within 90 Days
Within 6 Months
Within 1 Year
A Year or More
Provide your contact information
Name
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Address
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State
City
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Zip Code
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Phone Number
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Email
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