Your Interest
Type:
*
-- select one below --
Buying First Home
Buying Second Home
Buying Foreclosed Home
Contact Information
First Name:
*
Last Name:
*
Address 1:
*
Address 2:
City:
*
State:
*
-- select one --
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Washington, D.C.
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip code:
*
E-mail:
*
Day Phone:
*
-
-
Eve phone:
*
-
-
Additional Information
Have you found a home that you want?
Yes
No
Have you signed a contract yet?
Yes
No
What is zip code that you are looking in?
What is the area code that you are looking in?
Do you currently own a home?
Yes
No
Will you be a first time home buyer?
Yes
No
What is the projected purchase price?
-- select one below --
80,000
100,000
125,000
140,000
160,000
180,000
200,000
220,000
240,000
260,000
280,000
300,000
320,000
340,000
360,000
380,000
400,000
420,000
460,000
480,000
500,000
550,000
600,000
650,000
700,000
750,000
800,000
850,000
900,000
1,000,000
2M
3M
4M
5M
How much do you want to borrow?
Must have at least 10% down payment to qualify
-- select one below --
80,000
100,000
120,000
140,000
160,000
180,000
200,000
220,000
240,000
260,000
280,000
300,000
320,000
340,000
360,000
380,000
400,000
420,000
460,000
480,000
500,000
550,000
600,000
650,000
700,000
750,000
800,000
850,000
900,000
1,000,000
2,000,000
3,000,000
4,000,000
5,000,000
Credit Rating
-- select one below --
Excellent
Moderate
Poor
When do you want to buy?
-- select one below --
Less than 1 month
2-4 months
more than 4 months
Property Type
-- select one below --
Single Family
Multi-Family
Condominiums
# of BedRooms wanted?
-- select one below --
1
2
3
4
5
6
7
8
9
10
More than 10
# of BathRooms wanted?
-- select one below --
1
2
3
4
5
6
7
8
9
10
More than 10
How much Square footage?
-- select one below --
Don't Know
600 - 800
800 - 1000
1000 - 1200
1200 - 1400
1400 - 1600
1600 - 1800
1800 - 2000
2000 - 2500
2500 - 3000
3000 - 4000
4000 - 5000
5000 - 6000
6000 - 8000
8000 - 10000
over 10000
Social Security Number?
(optional)
Your credit will not be checked without your written and/or verbal approval.
Comments
I want to be kept informed of all new offers.
Once you have completed this expression of interest, your information will be sent to our participating agents. One or more of our participation agents will contact you by telephone. By submitting your expression of interest, you are consenting to receive telephone calls from our participating agents even if you are currently on the Do not call list.