LEAD INTAKE FORM – FOR ALEX

I'm looking to: *

First Time Home Buyer? *

Do you have a realtor? Who referred you? *

This will be a: *

Income Amt and Type (Salary/OT/Hourly,etc) *

How do you earn your income? *

How are you looking to qualify?

Purchase Price: *

Down Payment %: *

Amount of Assets ($): *

Occupancy: *

Goal: *

Cash Out Amount Desired: *

Property Type: *

I am looking for a: *

Owe: *

Est Value: *

State: *

Credit Rating *

Veteran? *

Military Branch? *

Public Servant (First Responder/Teacher)? *

What Kind of Public Servant? *

Name *

First

Last

Email *

Cell

Communication Preference

Message

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Patriot Mortgage Group Inc | 3401 Mallory Ln #209, Franklin, TN 37067 | NMLS 2074840

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