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I. Builder Representative Information:
 
Builder Rep Name (Your Name):
Builder Rep Company Name (Your company):
Builder Rep Telephone Number (Sales Site):
Builder Rep Telephone Number (Cell):
Builder Rep Telephone Number (Other):
Builder Rep email address:
(do not provide if you do not check at least three times per week)
Builder Rep Advertised Subdivision Name / Sales Site:
Other Notes:
II. Customer's Contact Information:
Customer Name:
Customer Current Property Address:
Customer Daytime Phone:
Customer Evening Phone:
Customer Cell Phone:
Customer Other Contact Phone:
Customer Email Address:
Other Comments / Notes:
III. Customer's Current Property Information:
What is the total amount that the customer currently owes on his / her property(first trust, second trust, and home equity balances)?
Amount:  $
What range is the customer expecting their property to sell within?
Other Comments / Notes:
IV. Customer's Sales Information:
Has your customer already spoken to your company's preferred lender regarding pre-qualification status?   Yes    No
What price range will the customer be purchasing?
  Minimum:  $
  Maximum:  $
What is the anticipated delivery date of the customer's new house? (ex. dd/mm/yyyy)
Other Comments / Notes:
V. Your Company's Realtor Compensation Plan:
What is the amount of brokerage fee being offered to Realtors currently on sales within your project?
Is this amount based on “base price” or “final" sales price?
Are there any bonuses being offered?   Yes    No
Other Comments / Notes:
VI. Other Comments / Notes:
Please provide any other information or special instructions:
VII. Comments / Feedback on How to Improve This Web Page:
Please provide any constructive feedback on how to improve this web page:
    
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