| Buyers Information Form |
| First Name: |
| LastName: |
| Contact Information |
| Evening Phone: |
| Current Address: |
| City: |
| Day Phone: |
| State: |
| Zip: |
| Property Information |
| Property Type: |
| Property Address: |
| # of Bath Rooms: |
| # of Bed Rooms: |
| E-mail: |
| Employment Information |
| Current Employer: |
| Years Employed: |
| Gross Monthly Wages: |
| Financial Information |
| Current Rent/Mortgage Payment: |
| Are You needing owner financing? |
| How much can you put down right now? |
| How would you rate your credit? |
| When are you needing to move? |
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