Buyer Information First Name: Last Name: Address: City: State: Alabama Alaska Alberta American Samoa Arizona Arkansas British Columbia California Colorado Connecticut Delaware Dist of Columbia Fed. St. of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northern Mariana Islands Northwest Territory Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon Territory Zip Code: Home Phone: Work Phone: Mobile Phone: Receive SMS Notifications: E-mail Address:     Are you looking to purchase: In the next 30 days 30-90 days Whenever I spot a good enough deal     Property Type Single Family,Mobile W/ land Home Multi Family Home Townhouse Condominium Manufactured Home Rent/Own Rent Own Pre-Approved? YesNo I would like a 1st/2nd option regarding rates and terms for a mortgage: YesNo City of Interest #1: City of Interest #2: City of Interest #3: City of Interest #4: City of Interest #5: City of Interest #6: City of Interest #7: City of Interest #8: City of Interest #9: City of Interest #10: State of Interest: Alabama Alaska Alberta American Samoa Arizona Arkansas British Columbia California Colorado Connecticut Delaware Dist of Columbia Fed. St. of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northern Mariana Islands Northwest Territory Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon Territory Min. # of Bedrooms: Min. # of Bathrooms:   Price Range: Minimum Maximum Monthly Payment: Down Payment:   The ideal home for me would be (describe): Promo Code: Are you interested in: Buying for yourself Lease Option or Land Contract Buying an investment property to rent out Buying an investment property to rehab Interested in renting Commercial     Financing (A current credit report may or may not be obtained) (We will use this information to qualify you for a loan through a traditional lender or through our owner financing program) Social Security Number: Date Of Birth: Date Of Employment: Job Title: Employer Name: Date Of Residence: Gross Monthly Income: Monthly Rent/Mortgage: Housing Status: RentOwn Checking Account: YesNo Savings Account: YesNo Marital Status: SingleMarried