Buyer/Tenant Information Record
Name(s)
Buyer #1 Name (First & Last)
Buyer #2 Name (First & Last)
Current Address
Street Address
Street Address Line 2 (Apartment, Suite, Etc)
City
State / Province
Postal / Zip Code
Home Phone #
Please enter a valid phone number.
Format: (000) 000-0000.
Buyer #1 Mobile
Please enter a valid phone number.
Format: (000) 000-0000.
Buyer #2 Mobile
Please enter a valid phone number.
Format: (000) 000-0000.
Work
Please enter a valid phone number.
Format: (000) 000-0000.
Fax
Please enter a valid phone number.
Format: (000) 000-0000.
Buyer #1 Email
example@example.com
Buyer #2 Email
example@example.com
Property inquiring about (if any):
. Date:
.
How did you hear about this property?
Referral
Yard sign (drive-by)
Friend
Internet
Other
Why are you looking for a new house?
Downsizing
Larger Home
Income/Lease Property
2nd House
Other
Status of current residence:
Own (must sell)
Own (pending)
Own (will keep)
Renting
Other
Are you pre-approved to buy a new house?
Yes
No
If you are not pre-approved, do you need help finding a Mortgage Officer?
Yes
No
If you are pre-approved:
Type of financing needed?
Conventional
FHA
VA
All Cash
Other
When do you need to be in your new house?
0-3 Months
3-6 Months
6-12 Months
12+ Months
Other
Is there a certain price range you had in mind?
What type of house are you looking for?
1 Story
2 Story
Either is fine
Other
Master Suite Up or Down
Up
Down
Either is fine
Other
Size of house you are looking for?
Up to 2500 SF
2500-3000 SF
3000-3500 SF
3500+ SF
Other
What kind/number of rooms do you need (bedrooms, bathrooms, living areas, dining areas, car/garage spaces, study/office, etc?
Please select desired amenities (if any):
Wood Burning Fireplace
Gas Log Fireplace
Sprinkler System
Swimming Pool
Covered Patio
Open Patio
Security System
Wood Floors
Other
Additional Comments:
Submit
Should be Empty: