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Intent to Purchase Form

The City of Boulder will contact you by phone or email to confirm receipt of the intent to purchase. If you do not receive a confirmation, call us at 303-441-3157.

* = Required fields

Date:
Name: *
Address:
Phone: *
(We must be able to contact you the day of the lottery)

Name of intended occupants besides yourself and their relationship to you:

Occupant: Relationship:
Occupant: Relationship:
Occupant: Relationship:

Lender Contact:
Realtor® Contact:

By submitting this lottery application I certify that:

I am currently certified with the City of Boulder and have been pre-qualified by the above lender for the purchase price of the properties listed below.

* I have personally viewed the properties listed below (for re-sale homes) or obtained information from the developer’s representative (for new construction)

* I understand that if I am contacted by the seller or their Realtor® I have 24 hrs to confirm that I wish to purchase and am willing to enter into a contract to buy.

* I understand that if the documentation I provided for certification to participate in the City of Boulder programs is found to be inaccurate, I may be disqualified from this lottery and/or other lotteries.