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First Name*

Last Name*

City

Phone*

Email*

I’m interested in (check all that apply):*
RentingLease purchaseContract purchasePurchasing a home while self-employedHome customizationPurchasing a home post bankruptcy, short sale or foreclosureMore information about alternatives to bank financing

Yes, I have a regular income.I do not have a regular income.

My desired monthly payment*
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$ Max:

My approximate down payment*
---Less than $1,499$1,500-$3,999$4,000-$10,999$11,000 or more

Preferred location of home (check all that apply):
Cedar RapidsMarionHiawathaAmanaAnamosa

If your prefered home location wasn't above, which city would you prefer?

Comments (250 words max.):

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