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562-688-3878
P.O Box 416, Newberry Springs, CA 92365
khmerhomes@gmail.com
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Your are a
*
Buyer
Seller
If you are working with another Real Estate Agent or Broker, Who?
*
If you are working with a Lender, Who? Include Contact Info.
*
Where would you like your new home to be located in?
*
Do you currently rent or own your home?
*
Rent
Own
Must you sell your home or complete a lease period before buying? How long is the lease?*
*
How many would apply for a Loan?*
*
1
2
3
4
5
6+
How many in your household?*
*
1
2
3
4
5
6+
What is your price range?*
*
$350,000 - $450,000
$450,000 - $550,000
$550,000 - $650,000
$650,000 - $750,000
$750,000 - $850,000
$850,000 - $950,000
$1,000,000+
I don’t know
How much in savings do you have for a Down Payment?*
*
Under $1,000
$5,000 - $10,000
$10,000 - $20,000
$20,000 - $50,000
$50,000 - $100,000
$100,000 - $250,000
$250,000 - $500,000
Over $1,000,000
What is your desired Monthly Payment?*
*
What is your estimate household monthly income?*
*
Under $5,000
$5,000 - $7,500
$7,500 - $10,000
Over $10,000
What is your Credit Score?*
*
Excellent (720+)
Good (680-719)
Fair (620 -679)
Poor (Below 620)
I don’t know
Do you or a co-borrower work in any of the following professions?*
*
Law Enforcement
Educator
Health Care Worker
Fire Fighter
Military/ Veteran
Not applicable
If you qualify and could find the perfect home, how soon would you like to make a move?*
*
ASAP
1-3 Months
3-6 Months
6+ Months
What kind of property are you looking for?*
*
Condominium
Townhouse
House
Multi-Units
Commercial
Other
Bedrooms*
*
Studio
1
2
3
4
5+
Bathrooms*
*
Studio
1
2
3
4
5+
Floor area (sq. ft.)*
Floor area (sq. ft.)*
Lots size (sq. ft.)*
Lots size (sq. ft.)*
Payment Term*
Bank Financial
Cash Offer
Additional comments or requests*
What is your name?*
*
First
Last
Email
*
Phone
Where can we call and/or text you?
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