Please tell us a little about yourself and the home you are looking for. We will add your information to our Priority Home Buyers List and notify you of any new homes or home buying incentives. Please be as complete as possible with the information you provide so we can better help you into your next home. If you have any questions please call us at 434-964-1026.
How did you hear about Results Real Estate? :
What house did you inquire about? :

Information About You

Primary buyers first name :
Primary buyers last name :
Co-buyers first name :
Co-buyers last name :
Address :
City :
State :
Zip Code :
Phone :
Fax :
Email :

Information about the home you want

What areas are you considering? :
When do you want to move? :
What price range are you looking in? :
How many bedrooms do you require?  :
How many bathrooms do you require? :
How much square footage do you require?  :
Will you consider a home that needs work? :

Basic Information about your qualifications

Have you been pre-qualified for a loan? :
If so, How much of a loan are you pre-qualified for? :
What is the most down payment you can raise? :
Is your down payment available now? :
How much is your current rent or mortgage payment? :
What is the most you can afford for a house payment? :
How would you classify your credit? :
How long have you been in your current job? :
Would you like someone to call you, or just contact you when new homes are available :
Additional information you would like us to know about your situation :
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