Direct Lead Intake Form
NFM Lead Engine Intake Form
First Name
(Required)
Last Name
Cell Phone
Email
Property State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
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Maine
Maryland
Massachusetts
Michigan
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Montana
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New Hampshire
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New York
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Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Loan Purpose
Purchase
Refinance
Cash Out Refinance
Investment
Construction
Reverse
Influencer
Choose Influencer Avatar
chaddjohnsonkc
kelsmorgan12
mymtgguy
anutterhomeloan
homeloansinheels
mortgagekeeks
thatmortgagecouple
yourmortgageguide
alabamamortgageguy
thatmortgageguy
yourmortgagemom
BorrowWithBrooke
MortgageXAshleyMcP
buynotrentguy
jarrieljordan
itsthatrealestatechick
mortgagestudio
nfm_social
deannellisdavidson
thegenzlender
this_is_mortgage
Platform
(Required)
TikTok
Facebook
Instagram
Lead Source
(Required)
Influencer Provided Direct Lead
Direct Message Social Lead
Surefire Blue Form Data Transfer
Follow-Up Type
Text
Email
Notes
Hidden
Record Type
Hidden
Credit Score
Hidden
Authorization
Name
This field is for validation purposes and should be left unchanged.
