Please tell us a little about yourself and the home you are looking for. We will add your information to our Priority Home Buyers List and notify you of any new homes or home buying incentives. Please be as complete as possible with the information you provide so we can better help you into your next home. If you have any questions please call us at 434-964-1026.
How did you hear about Results Real Estate? :
What house did you inquire about? :
Information About You
Primary buyers first name :
Primary buyers last name :
Co-buyers first name :
Co-buyers last name :
Address :
City :
State :
Zip Code :
Phone :
Fax :
Email :
Information about the home you want
What areas are you considering? :
When do you want to move? :
ASAP
30 - 60 days
60 - 90 days
90 - 120 days
120 + days
What price range are you looking in? :
How many bedrooms do you require? :
1
2
3
4
5
6
7
How many bathrooms do you require? :
1
2
3
4
5
6
7
How much square footage do you require? :
Will you consider a home that needs work? :
No - move in condition only
Yes - mainly cosmetic work
Yes - some rehab ok
Yes - major rehab ok
Basic Information about your qualifications
Have you been pre-qualified for a loan? :
Yes
No
If so, How much of a loan are you pre-qualified for? :
What is the most down payment you can raise? :
less than $1000
$1000 - $2000
$2000 - $3000
$3000 - $4000
$4000 - $5000
$5000 - $6000
$6000 - $7000
$7000 - $8000
$8000 - $9000
$9000 - $10000
$10000 - $15000
$15000 - $20000
$20000 - $25000
$25000 - $30000
more than $30000
Is your down payment available now? :
Yes
No
How much is your current rent or mortgage payment? :
What is the most you can afford for a house payment? :
How would you classify your credit? :
Excellent
Good
Fair
Ugly
How long have you been in your current job? :
1 - 6 months
6 months - 1 year
1 - 2 years
2 - 3 years
more than 3 years
Would you like someone to call you, or just contact you when new homes are available :
No - Just ad me to your Priority Buyers List
Yes - please call me
Additional information you would like us to know about your situation :
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