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| Husband: |
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| Wife: |
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| Address Street 1: |
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| Address Street 2: |
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| City: |
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| Zip Code: |
(5 digits) |
| State: |
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| Home Phone: |
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| Work Phone: |
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| Interested in Buying or Renting?: |
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| How many in family?: |
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| His Present Employer: |
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| Employer Phone: |
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| Job Description & Dept.: |
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| Gross Monthly Pay: |
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| Military Rank: |
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| Years in Service: |
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| Civilian: |
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| Years: |
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| Her Present Employer: |
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| Employer Phone: |
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| Job Descripition & Dept.: |
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| Gross Monthly Pay: |
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| Military Rank: |
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| Years in Service: |
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| Civilian: |
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| Years: |
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| Financing Options |
Conventional |
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VA |
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FHA |
| Portion of Savings to Invest: |
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| Down Payment: |
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| Closing Costs: |
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| Monthly House Payment Desired: |
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| Home Options: |
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| Apporximate Square Feet: |
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| Floor Plan |
1 Level |
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2 Level |
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Other |
| How Many Bedrooms?: |
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| How Many Bathrooms?: |
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| Attached Garage: |
No |
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Yes |
| Features Wife Desires in Home: |
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| Features Husband Desires in Home: |
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| Any Special Family consideration which might influence you buying a home?: |
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| Arrival Date to Fort Knox: |
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| Email: |
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