PRIME REAL ESTATE NETWORK
New Client Information Form
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First Name *
Last Name *
Phone Number
Email *
What is your credit score? *
What is your household income? *
How long have you been looking? *
Are you working with another salesperson/broker? If yes, who? *
How many are in your family? *
Do you own now or are you renting? *
If you are leasing, how long is the lease? *
Must you sell or complete the lease period before buying? *
How soon do you need to move? *
Have you seen any homes/investment properties that you really liked? *
If we can find the right property, are you prepared to make a decision now? *
What price range have you been considering? *
How much has a lender told you that you are qualified for? *
What is the name of the lender that pre-qualified you? *
How do you like us to communicate with you? *
We will be reaching out to you shortly. When is the best time to communicate with you? *
Where did you see information about us?(choose all that apply) *
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