If you have
trouble filling out this form, please call us directly
at (704) 370-6419.
Source of Call:*
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*If Referral, who referred you?
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First Name*:
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Last Name*:
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Address:
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Address Line 2:
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City:
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State:
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Zip Code:
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Home Phone*:
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Work Phone:
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E-mail Address:
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Newsletter? |
Maximum amount of down payment money available (minimum $3,000 )?* |
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| What home price range are you looking for?
* |
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| Maximum monthly payment that's affordable (minimum
$850.00)? * |
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What Charlotte area(s) do you want to live in? *
CTRL+click to select multiple areas.
COMMAND+click for Mac users.
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| How many bedrooms are required? * |
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| How many bathrooms are required? * |
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| Garage Needed? * |
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| How is your credit? * |
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| When are you ready to move into your new home? * |
(mm/dd/yy) |
| How many square feet are needed? |
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| Other Requirements: |
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Do you know the MLS #'s (or addresses) of the homes you are interested in seeing? If so, please list.
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