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    Race

    Current Housing Situation

    Are you currently working with a Real Estate Agent


    Are you a Veteran?
    Marital Status


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    Agent Name & Phone
    Have you owned a Home in the last (3) years?
    Gender



    Do you have a contract on a house at this time?

    Do you have a pre-approval from a lender


    How Did You Hear About Us?



    Authorization I authorize the St. Louis Residences, LLC to: (a) I understand that I am under no obligalion to use any or lite presenters at this workshop (b)Obtain a copy of the HUD-1 Settlement Statement, or Closing Disclosure when I purchase a home, from the lender who made me/us a loan and/or the title company that closed the loan. (c)"I" Understand that workshop is free of charge. "I/We understand that any Intentional or negligent representation(s) of the information contained on this form may result in civil liability under the provision of Title 18. United State Code, Section 1001."


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