Buyer Client Intake Form

Home Protection Guide will automatically be emailed at completion of Buyer Intake Form.

Contact Information

First Name *

Last Name *

Email *

Phone Number *

Captcha

Client Questionnaire

Have you owned a home in the last 3 years? If not, you're considered a first-time homebuyer! If you have, you may still qualify for programs. *

Yes

No

Do you or a co-borrower need to sell a home before you buy? *

YES

NO

Are you or a co-borrower currently under a rental lease agreement? *

YES

NO

Have you signed any agreements with a Real Estate Broker Agency and/or Agent? *

YES

NO

Where would you like your new home to be located? Please enter a CITY or COUNTY *

Do you currently rent or own your home? *

Rent

Own

Are you a Veteran or Active Duty Military? *

YES

NO

Have you been preapproved for a Mortgage? *

YES

NO

What is your buying price range? If you have not been preapproved for a Mortgage please provide a preferred estimate *

What is your desired Monthly Payment? Enter a desired estimated monthly payment, including taxes and insurance, that would feel comfortable in your budget. *

What is your estimated household income? This is your households gross income for ALL Buyers before taxes. *

Under $20,000

Between $20,000 - $25,000

Between $25,000 - $75,000

Over $75,000

Have you filed Bankruptcy in the past? *

NO

YES, 3 or more years ago

YES, 2 years ago

YES, 1 year or less ago

Have you had a Foreclosure or Short Sale in the past 2 years? *

YES

NO

Do you or a co-borrower work in any of the following professions?

Law Enforcement

Educator

Health Care Worker

Fire Fighter

How many bathrooms do you need? *

3+ Bathrooms

2 - 2.5 Bathrooms

1 - 1.5 Bathrooms

How many bedrooms do you need? *

4+ Bedrooms

3 Bedrooms

2 Bedrooms

1 Bedroom

What is your preferred parking style? *

Street Parking

Garage Parking

Driveway Parking

Car Port Parking

If you qualify and could find the perfect home, How soon would you be looking to move? *

ASAP

1-3 Months

3-6 Months

6+ Months

Is there anything else that will help us find your new home?

Best Time To Reach You *