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First Name *

Last Name *

Email *

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Apt. Complex

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City

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Zip Code

Daytime Phone

May we call you at work?

Yes No

Evening Phone

I prefer to be contacted by:

Phone Email Mail

I'm interested in the following area: *

-Select Area- Columbus, OH Fort Wayne, IN Indianapolis, IN

More specifically, I am interested in communities in the following area(s)- check all that apply:

Northwest	North	Northeast
West	Central	East
Southwest	South	Southeast

Other:

Are you currently working with a realtor?

Yes No

Do you currently own or rent?

Own Rent Neither

Current Monthly Payment

Desired Price Range

-Select- $80,000 - 99,999 $100,000 - 119,999 $120,000 - 139,999 $140,000 - 159,999 $160,000 - 179,999 $180,000 - 199,999 $200,000 - 219,999 $220,000 - 239,999 $240,000+

How soon do you plan on building your new home?

-Select- 1-3 months 3-6 months 6-12 months 1 year+

Preferences (check all that apply)

2 Bedroom 1 Story
3 Bedroom 2 Story
4 Bedroom
5 Bedroom
Single Family
Low Maintenance Patio or Townhome
55+ Community

Why are you looking for a home?

Job Change/Relocation
Done Renting
Downsizing
More Space
Better Schools
Closer to Work/Family/Friends
Family/Household Change

How did you hear about us? *

-Select- Visited Community Newspaper Realtor Signage Internet Referred by a friend New Homes Guide New Home Source Magazine New Home Finder Money Mailer Flyer/Direct Mail The Real Estate Book Any Real Estate Magazine Billboard Other

I would like my Complimentary Credit Analysis & Mortgage Pre-Qualification

Yes No I am pre-approved

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