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Company Name:*

Phone Number:*

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Website:

Skype ID:

Are you working with an agent?:*

Agents Name:

What Platform are you using the data on?:

Build leads - Consumers age:

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Exclude Renters?

Ethnic Groups:

Language Code:

Specific Consumer Ethnicity:

Consumer Religion:

Hispanic Country of Origin Code:

Ethnic Confidence Code:

African American Professionals:

Consumer Education:

Consumer Sex:

Marital Status:

Consumer Title of Respect:

Target Location States:

Target Specific: Time Zones, City, Area Codes, Zips or Entire U.S.

Major Population Areas: (Hold CTRL to select multiple)

Assimilation Codes:

*Would you like your data scrubbed against the State and Federal DNC?*

Platform using data on:

Consumer Sex Preference:

Records phone appending:

Number of Lines of Credit:

Credit Card User:

Bank Credit Card:

Home Owner Probability:

Home Owner Source Flag:

Select Credit Rating:

Range of New Credit:

VISA® – Regular/Gold:

VISA® – Gold/Premium+:

MasterCard® Regular:

MasterCard® Gold/Premium:

Discover "Regular" card:

Discover"Gold/Premium" card:

American Express® Card:

American Express® Card Gold/Premium:

Premium Credit Card Holder:

Gas/Department/Retail Credit Card:

Gold or Platinum Credit Card:

Upscale Retail Credit Card :

Gas/Department/Retail Credit Card:

Gasoline/Retail Card Gold/Premium:

Travel/Entertainment Card (f.e. Diners Club):

Business Owner:

Net Worth:

Active Investor:

Foreign Investments:

Known Investments:

Estimated Residential Properties Owned:

Highbrow Investments:

Investing/Finance Grouping:

Opportunity Seekers :

Online Purchaser:

Donates by mail:

Political Charities:

Animal Welfare Charities:

Arts / Cultural Charities:

Children’s Charities:

Wildlife Charities:

Environmental Issues:

Environmental Causes:

Health Charities:

International Aid Chariies:

Veteran’s Chariities:

Community Charities:

Charitable Donations:(Other)

General Contributor:

Religious Contributor:

Political Contributor:

Political Conservative Charities:

Political Liberal Charities:

Occupational Grouping:

Specific Occupation Selects:

Length of Residence:

Delivery Pnt Validation (DPV) Code

Air Conditioning:

Sewer:

Water:

Home Heat:

Home Purchase Price:

Home Pool Present:

House Purchase Type Made:

Current Home Value:

Inferred Household Rank:

CRA Income Class Code :

Home dwelling type:

Children ages in household:

Generations in Household:

Estimated Household Income:

Number of Persons Living in Unit:

Number of Children:

Residential Delivery Indicator (RDI):

Number of Adults:

Veteran in the Household:

Young Adult in Household:

Refinance Amount in Thousands:

Refinance Loan Type:

Refinance Rate Type:

Fast Mortgage Profile Build:

Specific Mortgage Criteria Info Wanted:

Mortgage Lender:

Mortgage Amount:

Mortgage Loan Type:

Mortgage Rate Type:

Include Pass Prospector Value – Home Value Mortgage :

Include Loan-to-Value:

Mortgage Loan Rates Wanted (Put inferred decimal NNDDDD)

Consumer reading interests:

Collectibles and Antiques:

Collector – Avid:

Common Living:

Computer Owner:

Cooking Enthusiasts:

Cultural/Artistic Living :

Gardening Enthusiasts:

Exercise/Health Grouping:

Do IT Yourself Living:

Male Merchandise Buyer:

Female Merchandise Buyer:

Home Living:

Home Improvement Groups:

High Tech Living:

Home Decorating Enthusiasts:

Movie/Music Grouping:

Outdoor Enthusiasts :

Sports Grouping:

Sporty Living:

Outdoor Sports Lover:

Spectator Sports/TV Sports :

Travel Grouping:

Traveler:

Upscale Living:

Sweepstakes Player:

Casino Gaming:

Mail Responder:

Responded to Catalog:

Donates by Mail:

Mail Order Buyer:

Online Purchasing Indicator:

Consumer Interests (Fine tune your sales leads!)

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