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Type of Information Request
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Optional Questions
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Current Status:
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Own Condominium or House
Rent
Not Specified
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How soon do you plan to purchase?
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Right away
Within the next 3 months
3 - 6 months
6-12 months
No specific plans
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Do you need to sell your existing home prior to buying?
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Yes
No
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Would you like a current market analysis on your home?
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Yes
No
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What is important to you in working with a Realtor?
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What is your preferred method of communication?
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Phone
E-mail
In-Person Meetings
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Are you currently working with a Realtor?
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Yes
No
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Is your home currently listed?
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Yes
No
Not Specified
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Do you have rental property also?
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Yes
No
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Your Information
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First Name:
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Last Name:
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Address:
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City:
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State/Province:
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Zip Code:
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Phone:
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E-mail:
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Your Comments:
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