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 Subject:
 

 Are you a first-time home buyer? Yes   No

 Did you sign an "Exclusive Rep. Agreement" with any agent? Yes   No

 Are you re-locating? Yes   No

 Have you been pre-approved for a mortgage? Yes   No
  If you have been pre-approved, how much did you get pre-approved for?      $

 Are you selling your current property? Yes   No