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Buyers
Buyer Information
How did you hear about us?:
Buyer 1 Name:
*
First
Last
Buyer 2 Name:
First
Last
Current Address:
Street Address
Street Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State / Province / Region
Postal / Zip Code
Home Phone:
Area Code
-
Phone Number
Buyer 1 Work Phone:
Area Code
-
Phone Number
Buyer 1 Cell Phone:
Area Code
-
Phone Number
Buyer 1 E-Mail:
Buyer 2 Work Phone:
Area Code
-
Phone Number
Buyer 2 Cell Phone:
Area Code
-
Phone Number
Buyer 2 E-Mail:
Pre-Buying Questions
House to sell in order to buy?:
Yes
No
Address:
Street Address
Street Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State / Province / Region
Postal / Zip Code
Buyer Broker Agreement Signed?:
Yes
No
Pre-qualified?:
Yes
No
Lease?:
Yes
No
Lease Expires:
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
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28
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31
/
January
February
March
April
May
June
July
August
September
October
November
December
/
2050
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2029
2028
2027
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
day
month
year
Lender:
POC:
Phone #:
Area Code
-
Phone Number
Who are all the decision makers?:
Fax #:
Area Code
-
Phone Number
E-mail:
Approved:
Yes
No
Schedule for viewing properties?:
Requirements for New Home
Price Range:
From
To
Comfort Zone (per month):
From
To
Location/Schools:
Sq. Ft.:
Acreage:
Siding:
Stories:
Garage:
Fence:
Other:
Submit
Reset
C/Air:
Heat:
# BDs:
# BAs:
Kitchen:
Living:
Locations
Our Address:
41 Old Oyster Point Rd
Suite G-1
Newport News, VA 23602
Hours of Operation:
Mon. to Fri. 9am to 5pm
Sat and Sun by appointment only.
Office Phone:
(757) 788-2400
Cell:
(757) 532-8300
Fax:
(757) 788-2450
Designations
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Crystal Sullivan
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