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Thank you for providing some information for us. This is the first step in us helping you buy your own fully remodeled home!  We will use this information to match you with one of our available homes or one that will be available soon.  We will also put you on our FREE mailing list to receive information every time one of our remodeled homes comes on the market.  This will give you the first chance at these great homes. Thank you, and we look forward to helping you buy your home! 

ALL COMMUNICATIONS WITH BLUE RIDGE HOME BUYERS, INC. ARE HELD IN THE STRICTEST CONFIDENCE, AND ARE WITHOUT OBLIGATION. THIS INFORMATION WILL NOT BE SOLD OR SHARED.

Please provide the following information:  

Contact Information
First Name		Last Name
Address		City
State	AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MA MD MI MN MS MO MT NE NV NC NH NJ NM NY ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY	Zip Code
Day Phone		Evening Phone
Cell/Pager		Best Time to Reach	Anytime Morning Afternoon Evening Night
Email

Your Property Needs
Which are you looking for?	Buy Rental Lease Option Buy or Lease Option Lease Option or Rent Not sure
In which area(s) do are you looking for your new home?
How many bedrooms do you need?	Any 1 or more 2 or more 3 or more 4 or more 5 or more
How many bathrooms do you need?	Any 1 or more 2 or more 3 or more 4 or more 5 or more
How many square feet do you need?	500 sq ft or more 600 sq ft or more 700 sq ft or more 800 sq ft or more 900 sq ft or more 1000 sq ft or more 1250 sq ft or more 1500 sq ft or more 2000 sq ft or more 2500 sq ft or more 3000 sq ft or more 3500 sq ft or more 4000 sq ft or more
Do you need a garage/carport?	Yes No
What kind of monthly payments do you require?	$250 $300 $350 $400 $450 $500 $550 $600 $650 $700 $750 $800 $850 $900 $950 $1,000 $1,100 $1,200 $1,300 $1,400 $1,500 $1,600 $1,700 $1,800 $1,900 $2,000 $2,250 $2,500 $2,750 $3,000 $3,250 $3,500 $3,750 $4,000 $4,250 $4,500 $4,750 $5,000+
What's the most you can you afford as a down payment?	$500 $1,000 $1,500 $2,000 $2,500 $3,000 $3,500 $4,000 $4,500 $5,000 $5,500 $6,000 $6,500 $7,000 $7,500 $8,000 $8,500 $9,000 $9,500 $10,000 $12,500 $15,000 $17,500 $20,000 $25,000 $30,000 $35,000 $40,000 $45,000 $50,000+
Of the following, which three are the most important in purchasing or renting a home? - Type of Neighborhood - Size of home - School system - Distance from work - Monthly and down payments - Number of Bedrooms and Baths - Size of yard - Type of kitchen - Difficulty and length of application process
How is your credit?	Excellent Good Fair Poor Very Poor No Credit
How soon are you looking to purchase your next home?	ASAP 1 month 2 months 3 months 4 months 5 months 6 months 7 months 8 months 9 months 10 months 11 months 12 months +
Any other questions or comments?
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