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Name
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First
Last
Phone Number
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Your Best Email
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City / Area of Interest
What is your Max Home Budget?
When are you planning to Purchase a Home?
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ASAP - Within 30 Days
Within 60 Days
Within 90 Days
Within 6 Months
Within 1 Year
1 Year +
Have you completed a Mortgage Pre-Approval?
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No
Yes
I do not require a mortgage
Min Amount of Bedrooms Required?
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Studio Apartment
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1 Bedroom
2 Bedrooms
3 Bedrooms
4 Bedrooms
5 Bedrooms
6 Bedrooms
7 Bedrooms +
Min Amount of Washrooms Required?
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1 Washroom
2 Washrooms
3 Washrooms
4 Washrooms
5 Washrooms+
Desired Style(s) of Living Structure
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Detached House
Semi-Detached House
Townhome
Condo
Duplex/Triplex
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Any Special Requirements that need to be met?
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