StateWide Mortgage Services 9020 Crawfordsville Road Indianapolis, IN 46234 317-209-LOAN (5626) 877-SMS-1411 (767)
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Nicole L. Chappell
Realtor®-Broker/Owner, Mortgage Broker/Owner
Direct: 317-216-8485 Office: 317-291-7653 Fax: 317-297-6945
Work Phone:
Home Phone:
E-Mail:
Name of Primary Buyer:
Birthday: (this is only used to send birthday greetings and not for credit reporting purposes)
Name of Secondary:
Birthday:
Current Address:
City, State, Zip:
Are you working with another Real Estate Agent? no yes If so who is it:
How many people are in your family?
Do you have a deadline to meet in moving? no yes When is the deadline?
If not, how soon do you plan to move?
Have you seen any properties already that you would like to see? no yes
If so, what is the address?
What price range are you considering?
Have you been pre-qualified yet? no yes If so with whom?
Bedrooms: 2 3 4 5 Bathrooms: 1 1.5 2 2.5 3 3.5 Sq. Ft: less than 1000 1001-1300 1300-1500 1501-1700 1701-2000 more than 2000 Style: Ranch Tudor Contemporary Cape Cod Open to all Styles Brick/siding…: Brick Siding Cedar Log
Basement: yes no Garage: none needed 1 car attached 1 car detached 2 car attached 2 car detached
Any other features you would prefer?:
School system desired:
