First Time Buyers Assistance Request

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For fast and FREE assistance, please complete the request below. Privacy Policy

Please complete the following questions to participate in the home buyers program. Once your request is processed, we will contact you. Items marked with an asterisk (*) are required.

Please provide the following information:

Name *()**

Street address ()*
Address (cont.)
City ()*
State/Province *()**
Zip/Postal code *()**
Country
*()** At least one contact phone # is necessary, no pagers or fax numbers.
Contact Phone#
2nd Contact Phone#
E-mail

What cities and areas are you interested in?: (*)
What price range are you interested in: (*)
What is your preferred monthly payment:
What type of home are you looking for: (*)
How many square feet do you need:
How many bedrooms: (*)
How many bathrooms: (*)
Would you like a pool:
Yes No
Do you require a formal dining room:
Yes No
Do you have school age children:
Yes No
Do you have a school district preference:
By what date do you want to buy a home: (*)
Are you married: (*)
Yes No
Spouses Name: (*)
Are you familiar with your destination city:
Yes No

First Time Buyers Assistance Request

Copyright www.paulmiller.net, Inc Last revised: 03/09/2008 © ΛΩ

Copyright www.paulmiller.net, Inc
Last revised: 03/09/2008 © ΛΩ