| Buyer Information |
| First Name: * |
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| Last Name: * |
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| Address Street 1: * |
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| Address Street 2: |
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| City: * |
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| Zip Code: * |
(5 digits) |
| State: * |
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| Family Ages |
| Spouse: |
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| Child: |
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| Child: |
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| Child: |
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| Child: |
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| Contact Information |
| Daytime Phone: * |
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| Evening Phone: * |
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| Email: * |
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| Please tell me about your family (Clubs, sports, hobbies,Etc.).: |
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| Need to sell house first?: |
Yes No |
| Estimated Moving Date: |
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| Home currently listed? |
Yes No |
| If listed, please supply agents name and phone number. |
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| Are you interested in listing your home or need a referral? |
Yes No |
| Are you currenly working with another agent? |
Yes No |
| Best time to view property. |
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Financial Information
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| Cash / Financing information:: |
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Do you need to be pre-approved?
(Recommended) |
Yes No |
| If already pre-approved please enter finance officers infomation: |
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Desired price range or
pre-approval amount: |
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| Property Information |
| Property Type: |
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| Occupancy: |
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| Bedrooms: |
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| Bathrooms: |
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| Square feet (Heated): |
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| Lot size (acres): |
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| Garage / Parking needs: |
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| Style of home: |
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| Other Information |
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I authorize Rossetti Realty, Inc. to forward contact infomation to a loan officer for pre approval
purposes only.
We do not share any infomation with any other websites or business entities of any kind. |
