The answers you provide will help me to assist you with your home buying needs so please fill out this form as completely as possible. I look forward to discussing your home buying needs!
Note: * = Required Field

*Name: *Address: *City: *State: *Zip: *Email: *Phone: - select Daytime Evening Anytime 2nd Phone: - select Daytime Evening Anytime Have you ever purchased a home before? select Yes No I plan to purchase a home: select Immediately Within 1 month in 1-3 months in 3-6 months in 6 months to 1 year in 1 to 2 years In what city/area do you plan to purchase a home? I plan to purchase a: select Home to live in Rental property Other Will you be moving because of a new job or job transfer? select Yes No If so, will you be receiving cost assistance or relocation benefits from your current or future employer? select Yes No Maybe N/A If you currently own a home... Will you need assistance with the sale of your current home? select Yes No Maybe N/A Will you need the equity from your current home to purchase another? select Yes No Maybe N/A Would you like a market analysis prepared for your current home? select Yes No Maybe N/A Miscellaneous Information... What price range will you be looking in? select $50,000 - $74,999 $75,000 - $99,900 $100,000 - $124,999 $125,000 - $149,999 $150,000 - $199,999 $200,000 - $249,999 $250,000 - $349,999 $350,000 - $449,999 Above $500,000 Unknown How much of your savings/equity do you plan to use toward the purchase of your future home? $ Have you been pre-qualified or pre-approved for a mortgage by a bank or lending institution? select Yes No Do you have any specific criteria regarding the style, size, amenities, features, etc. that you will need or would like to have in regards to the home you plan to purchase? Additional information, comments, questions, etc... How you found Dave's web site... What web site, search engine, directory, or advertisement directed you to Dave's web site?

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