Home Buyer Rebate Registration

CASH REBATE REGISTRATION FORM

GET ARG MONEY SAVING SERVICES PLUS UP TO 3% CASH BACK!

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All information will be kept strictly confidential and never traded or sold to any outside entity or person(s).

 

CONTACT INFORMATION

How did you find us?

Select One MSN Yahoo AOL Alta Vista Google InfoSeek/Lycos Netscape Other

First Name

Last Name

Street Address

City

State

 

 

Zip/Postal Code	Work Phone	Home Phone
Best Time To call	FAX	E-mail

 

 

INFORMATION ABOUT BROKERAGE SERVICES

PLEASE ACKNOWLEDGE RECEIPT OF RECEIVING THE FORM INFORMATION ABOUT BROKERAGE SERVICES BY CLICKING THE CHECK BOX BELOW State Form "Information About Brokerage Services" is NOT a contract and signing it does NOT obligate you in anyway to us. This Notice is a state required NOTICE form that is provided for your consumer protection. ALL Licensed Texas Real Estate agents by law MUST provide this notice to members of the Public at their "FIRST CONTACT." This NOTICE simply explains in what capacity(s) a real estate agent may act. You may click the Hyper Link below to READ an on-line copy of the Information about Brokerage Services and print out a copy for your records. Your acknowledgement by checking the box below simply provides us with a date stamp as to when you received your state required notice. If you have ANY questions concerning this beneficial notice please talk or email us and we will be most helpful. I have read and understand the Information About Brokerage Services.

 

PROPERTY INFORMATION

Purchase Property Type

Single Family FORECLOSURE Condominium Purchase Town Home Purchase Duplex Purchase

Hold Control Button down to select more than one type of property,

 

Parking Preferences 

Attached Side Entry 2 Car Garage Attached Side Entry 2.5 Car Garage Attached Rear Entry 2 Car Garage Attached Rear Entry 2.5 Car Garage Attached Front Entry 2 Car Garage Attached Front Entry 2.5 Car Garage Attached Side Entry 3 Car Garage Attached Rear Entry 3 Car Garage Attached Rear Entry 3 Car Garage

Hold Control Button down to select more than one

 

Property Age New ONLY New - 1yr 2yrs or less 5yrs or less 10yrs or less Doesn't Matter	Bedrooms 2 Bdrms 3 Bdrms 4 Bdrms 5 Bdrms 6 Bdrms
Bathrooms 1 1/2 bath 2 baths 2 1/2 Baths 3 Baths 3 1/2 Baths 4 or more	Area you want to live Allen Frisco McKinney Melissa Plano Prosper Collin County Other Denton County Tarrant County Dallas County DFW Other

 

Monthly Payment Minimum	Monthly Payment Maximum
Price Range Select One From $100,000 - $125,000 From $125,000 - $150,000 From $100,000 - $200,000 From $200,000 - $250,000 From $250,000 - $300,000 From $300,000 - $350,000 From $350,000 - $400,000 From $400,000 - $450,000 From $450,000 - $550,000 From $550,000 - $650,000 Over $500,000	Anticipated Down Payment Select One $0 Down 3% Down Between 3% and 10% Down Between 10% and 20% Down 20% or Greater Cash Purchase

 

Have you been pre-qualified by a lender?                Yes No

Do you have a present home to sell?                        Yes No

Are you under agreement with another Realtor?   Yes No

 

 

By what date are you planning to purchase?

Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2009 2010

 

Tell us about your home buying requirements, goals, needs.

Be as specific as possible.