House Buyers Information Checklist

Client Intake Information

Thank you for taking the time to visit my page. I will need some basic information so I can determine the best way to achieve your goal. Please complete the form below as this helps me best assist with your real estate needs. I look forward to working with you!
Client Name*

First NameLast Name
E-mail*
Phone Number

Area CodePhone Number
Best time to call/text
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Desired areas or communities where you are looking*
Approximate price range:*
How was this determined:*

Broker pre-qualificationBuyer's own determinationLenderOther
Preferred Lender
Home type:

Ranch2-storyMulti unit
Type of property*

Single FamilyTownhomeCondominiumCommercialLandOther
Number of Bedrooms:*
Number of Baths:*
Please tell me your must haves if buying.
How did you hear about me?

Personal ReferenceIntroduction at Open HouseCompany referralPostcardSocial MediaZillowTruliaOther
Enter the message as it's shown*
Should be Empty:

Client Intake Information