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Name:* Phone1:* Phone2: Email: County you plan to buy in?* --Select One-- Adams Allen Ashland Ashtabula Athens Auglaize Belmont Brown Butler Carroll Champaign Clark Clermont Clinton Columbiana Coshocton Crawford Cuyahoga Darke Defiance Delaware Erie Fairfield Fayette Franklin Fulton Gallia Geauga Greene Guernsey Hamilton Hancock Hardin Harrison Henry Highland Hocking Holmes Huron Jackson Jefferson Knox Lake Lawrence Licking Logan Lorain Lucas Madison Mahoning Marion Medina Meigs Mercer Miami Monroe Montgomery Morgan Morrow Muskingum Noble Ottawa Paulding Perry Pickaway Pike Portage Preble Putnam Richland Ross Sandusky Scioto Seneca Shelby Stark Summit Trumbull Tuscarawas Union Van Wert Vinton Warren Washington Wayne Williams Wood Wyandot What area(s) of the County are you buying in? Buyer Status:* --Select One-- 1st Time Home Buyer Not a First Time Home Buyer Down Payment Type:* --Select One-- 0-5% Down 5-10% Down 10-20% Down 20%+ Down Type of Home:* --Select One-- Standard Single Family Condo/Townhome 2-4 units Not sure yet Type of Residence:* --Select One-- Owner Occupied Second Home/Vacation Home Investment/Rental Not Sure Yet How would you describe your credit?* --Select One-- Excellent Good Fair Poor Not Sure Have you had a Bankruptcy?* --Select One-- Never 7+ Years Old 4+ Years Old 2+ Years Old 0-2 Years Old Best time to reach you at the number you gave us? Any other notes/comments you would like to mention? How did you find our website?* --Select One-- Google Yahoo Other Search Engine Referred by Friend/Relative Referred by Real Estate Agent Other