Full Name
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Email
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Phone
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How many people live in your household?
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1
2
3
4
5 - more
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Income Range
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Under $100,000
$100,000 - $250,000
$250,000 - $500,000
more
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What type of property
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Single
Duplex
Triplex
Quadruplex
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Do you currently own a home
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Are you (or a co-borrower) American Indian
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Do you have a realor
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YES
No
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How would like to be contact for you results
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Phone
Email
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