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Name:
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Email Address:
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Phone (1):
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Phone (2):
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Do you currently own your own home?
Yes
No
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Do you currently own any investment property?
Yes
No
If You Answered, "Yes", How many properties do you own?
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Rate your credit.
Excellent
Good
Average
Poor
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Do you have Cash Reserves?
Less than $5000
$5001 - $10,000
$10,001 - $20,000
$20,001 - $30,000
$30,001 - $50,000
$50,001 - $80,000
$80,001 - $120,000
More than $120,000
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Are you a licensed real estate agent?
Yes
No
Why do you want to invest in real estate?
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Indicates Response Required