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FREE SERVICE: Please fill out this form and we'll be able to tell you about the home loan programs you qualify for or the ones that we can help you get qualified for.
Who referred you to our web-site?
HIGHER WAGE EARNER............. Full Name
(required)
Date of Birth
Address
City, State, Zip
How Long At This Address?
Rent/Mortgage Payment
Day Phone
(required)
Evening Phone
Cell Phone
Fax #
Email address:
(required)
Monthly Income Before Taxes
(required)
How Long At This Job?
Monthly Vehicle Payment
When Done Paying?
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2nd WAGE EARNER............. Full name
Date of birth
Monthly Income Before Taxes
How Long At This Job?
Monthly Vehicle Payment
When Done Paying?
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Is there a certain home you are interested in? Please fill in the address:
Tell us about the home you would like to buy
We have about this much money for a down payment
(required)
I Promise To Call Lenny In 3 Working DaysYES!
Confirm email address **
(required)
Foreclosure or Repossesion or Bancrupcy in Past 2 years?
(required)		No
Yes
Approximate Date of Foreclosure:
Approximate Date of Repossesion:
Approximate Date of Bancrupcy Discharge:

Lenny Schwartz, Realtor®
Team Leader; Texas Realty Team
e-Executive Realty
Ph:     512-502-8855
Fax::  512-233-1019
eMail:  Lenny@TexasRealty.us

Your personal privacy is a principal concern to us. Our goal in outlining our policy on the collection and use of customer data is to ensure the highest level of confidentiality and security. When you provide your personal information, we will not give or sell your personal information to any outside company for its use in marketing or solicitation. We will maintain the confidentiality of your personal information and it will be used only to support your customer relationship with us, assisting us in providing better and more targeted services to you. Additionally, internal practices are in place to help protect your privacy by limiting employee access to and use of customer data. When we ask for customer information, it is done with the goal of improving our relationship. Our intention is to send e-mail only to customers who have chosen to receive such e-mails and/or to access our information databases. At any time, you have the right to decline receiving future communications in any manner, including email, fax, telephone and postal mail.