Buyer Questionnaire
Turning Dreams Into Addresses
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Date of Birth
Are you Married?
Please Select
Yes
No
Spouse's Name
First Name
Last Name
Spouse's Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Spouse's Email
example@example.com
Spouse's DOB
Spouse's Address (If Different from above)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What method of payment do you prefer?
Please Select
Cash
Loan
Do you plan to obtain a VA Loan?
Please Select
Yes
No
Indicate Price Range
$-$$$ USD
When are you planning to buy?
1- 3 months
3-6 months
6-12 months
Are you a first time Home Buyer?
Yes
No
If you are currently renting, what is your lease expiration date?
Do you currently have funds available for your down payment and/or closing costs?Many of our buyers use VA benefits or assistance programs , this just helps us guide you properly.
Yes
No
Have you been approved by a lender?
Please Select
Yes
No
If yes, Specify Lender Name and Number
Are you currently working with another Real Estate Agent?
Please Select
Yes
No
Preferred style of home
Single occupancy house
Ranch Style
Bungalow
Condo
Duplex
Townhome
Multifamily
Other
Number of Bedrooms
Number of Bathrooms
Minimum Square Feet
Enter a range (ex: 1000-2000)
Preferred City or Neighborhood?
What are your must haves?
What is a good time for us to connect and discuss your questionnaire?
What is your preferred method of contact?
Phone Call
Text
Email
How did you hear about us?
Who will be your primary point of contact throughout your home journey?
Connie Steverson
Saphire Nolan-Barnett
Submit
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