Prospective Buyer(s)
Date Called
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Desired move Date
*
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Borrower Name
*
Co-Borrower Name
Borrower Phone Number
*
Format: (000) 000-0000.
Co-Borrower Phone Number
Borrower Email
*
example@example.com
Co-Borrower Email
Current Address
*
Desired Zip Codes
*
Neighorhood Desired
School District Desired
Monthly Income: borrower
*
Monthly income: co-borower
Current Credit Score:
*
Do you want credit consultation?
*
Evictions (Yes or No, if “Yes” please explain)
*
Broken Lease (Yes or No, if “Yes” please explain)
*
Rental History (How long have you been at current and previous address)
*
Present Rental Amount
*
1 or 2 story
Style Home
Bedrooms: 1 2 3 4 5 Baths: 1 1.5 2 3
*
Attached/ Detached Garage
Pool: Yes No New Home
Must haves: Applicances
*
Desired Sq footage
Desired age of home
Other features desired
First Time Homebuyer? Yes or No:
*
Pre-qualified?: Yes or No
*
Pre-approved? Yes or No
*
Qualified for: FHA VA CONVENTIONAL CASH
*
Preferred Mortgage Company?
*
Monthly budget for Mortgage?
*
Cash Saved
*
Do you need to sell a house before moving?
*
If yes, is property listed w/another agent?
*
If no, may we list it for you?
*
How soon do you need to buy/move?
*
Are you in a position to make a decision at this time?
*
Best time to view homes?
*
Other Additional Information? If no, put N/A
Submit
Should be Empty: