Date
Name
Spouse
Where did you hear about us?
What kind of house are you looking for?
How many bedrooms?
Are you looking for a garage?
Basement?
What acreage?
Would you consider a doublewide?
What area would you like?
How much do you have as a down payment?
How much can you afford to pay per month?
How is your credit?
Bankruptcy?
D/C?
Late pays since the discharge?
Have you been pre-approved for a mortgage?
How much?
If not, can our Finance Dept. contact you to discuss financing?
How long have you lived at your current address?
Do you rent or own?
How much is your current mortgage or rent payment?
Your Address:
Home Phone:
Work Phone:
Cell Phone:
Email Address
Employer:
Spouse employer:
Combined Income:
How long employed?
How long spouse employed?
***The information provided on this website may contain errors or omissions. Readers are advised that Iannotti Realty Solutions, Inc., implies no guarantee of correctness. Buyers are advised to independently verify all data prior to making an offer***
