Buyer Intake Form
Please fill in the form below.
Buyer #1 (legal name as it would appear on a contract or deed)
*
Prefix
First Name
Middle Name
Last Name
Suffix
Do you have a name you prefer to be called instead of your legal name?
E-mail
*
Cell Phone#
*
-
Area Code
Phone Number
Date of Birth
Buyer #2 (legal name as it would appear on a contract or deed)
Prefix
First Name
Middle Name
Last Name
Suffix
Do you have a name you prefer to be called instead of your legal name?
E-mail
example@example.com
Cell Phone#
-
Area Code
Phone Number
Date of Birth
Who is the primary contact?
When is the best time to reach the primary contact?
What is your communication preference?
*
Call
Text
Email
Current Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
How did you hear about us?
Personal Reference
CityLivingDetroit.com
@properties.com
Google Ad
Facebook
Instagram
YouTube
Social Media
Postcard
Other
If you were referred by someone, can you tell us that person's name so we can thank them?
What is your reason for buying/selling, and when would you would like to close on your new home?
*
What is prompting your move?
*
Areas or communities that you are looking to relocate to...
*
Are you pre-approved for a mortgage?
*
Yes
No
I am planning to pay cash
Approximate price range:
*
How was this determined:
*
Lender
Buyer's own determination
Other
Do you currently own a home? If so, do you need to sell it first? And, is it on the market?
If you're currently renting, when is your lease up? (exact date please)
What are the best days and times for you to look at properties?
How much time do you need at each property during showings?
5 minutes or less
10 - 15 minutes
15 - 30 minutes
More than 30 minutes
Preferred Lending Institution (If applicable)
How much would you prefer to put as a down payment? (% or $)
When do you want to be in your new home?
Type of property
*
Single Family
Townhome
Condominium
Co-op
Other
Number of Bedrooms:
*
Number of Baths:
*
Is a garage a requirement?
Tell me about your ideal location.
Are schools important?
Yes
No
Do you have a preference for when the house was built?
Do you want a house that is move in condition or are you willing to do some work?
Move in condition
Willing to do a bit of work
Willing to do a gut job
Do you need a garage? If so, what size?
Who will be living in your new home?
Describe your lifestyle: What do you enjoy doing at home?
Do you have anything special that needs to be accommodated such as large equipment or large furniture? Please describe.
Do you have any pets?
Yes
No
Is there anything you DO NOT like in a home? (i.e. carpet)
What are the TOP FIVE things your home needs to have?
If we found a home today that meets most of your criteria, would you make an offer?
Yes
No
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