First Name
Last Name
Email
*
Phone
*
How’s your credit score?
Excellent! (700+)
Good (650-700)
Average (600-650)
Needs Repair (Below 600)
Average Debt (Excluding Mortgage)?
0-$20k
$20k - $40k
$40k +
Are you the homeowner?
Yes, I Own My Home
No, I Rent
What is your dream home missing?
Pool
Kitchen Remodel
Bathroom Remodel
Gazebo
Other / NA
Desired cash flow increase?
Have you had a bankruptcy in past 5 years
Yes
No
How did you hear about us?
Facebook
Google
Instagram
Tiktok
Email
You Tube
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