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Contact Information
First Name
Last Name
Email Address
Best time to contact you
Phone Number
Property Information
Property Type
Max Price
When are you planning on buying?
Are you currently working with a Realtor?
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Do you need to sell your present home?
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Would you like more information on financing?
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How much downpayment do you have?
Would you rate your credit as "A" "B" or "C"?
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