REAL ESTATE

QUESTIONNAIRE

Let's Find You the Home of Your Dreams

Meet Your Broker

Armen Brock

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Purchase Questionnaire

Preferred Location*

Do you currently own or rent?*

Own
Rent

How many reside in your household?*

1
2
3
4
5+

Credit Score*

Excellent (720+)
Good (680-719)
Fair (620-679)
Poor (Below 620)
Not sure

What is your purchase price range?*

Under $150,000
$150,000 - $250,000
$250,000 - $350,000
$350,000 - $450,000
$450,000 - $550,000
Undecided

Approximate household monthly income?*

Under $5,000
$5,000 - $7,500
$7,501 - $10,000
Over $10,000

Desired Monthly Payment*

Do you or a co-borrower work in any of the following professions?*

Law Enforcement
Educator
Health Care Worker
Fire Fighter

How soon would you like to purchase a home?*

ASAP
1-3 Months
3-6 Months
6+ Months

Client Information

Name*

Email*

Phone Number*

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Address*

How did you hear about my services?*

Google Search
Facebook
Instagram
Referral
Other

Almost done. Where should we send the confirmation?

Name*

Email*

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