Home Buying Wishlist
Name
*
First Name
Last Name
Spouse
First Name
Last Name
Email
*
example@example.com
What is your date of birth
-
Month
-
Day
Year
Date
If you are purchasing with your spouse, what is their date of birth?
-
Month
-
Day
Year
Date
List the name(s) and age(s) of your children (if applicable)
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Price range:
First time buyer?
Yes
No
Do you have a home that you need to sell before you purchase a new one?
Yes
No
If renting - are you in a lease or a month contract?
Lease
Month
Pre-approval through:
Mortgage Officer:
Lender:
Downpayment:
Mortgage amount:
Parish:
Type of home:
Condo
Townhouse
Single
Two
Investment
Types of improvement you're willing to make:
None
Cosmetics only
Medium Repairs
Contractor Repairs
Older or newer home?
Older
Newer
Number of bedrooms
Number of bathrooms
What do you need? (eg. yard, garage, driveway, basement, attic, den, second bath, family room, porch, near transportation)
What would you like to make your home extra special, but you could live without? (e.g. fireplace, yard, garage, driveway, basement, attic, den, 2nd bath, family room, porch, near transportation)
Specific features that you will not accept:
Are you currently contractually represented to Buy or Sell Real Estate with another Realtor?
Yes
No
How are you currently searching and viewing homes online?
What qualities are important to you in a real estate agent?
Who should I thank for referring you?
Submit
Should be Empty: