Client Information for Real Estate

Client Information for Initial Real Estate Consultation

Please complete all questions.
Name*

First NameMiddle NameLast Name
E-mail*
example@example.com
Contact Phone Number
Format: (000) 000-0000.
Employment : Are you 1099 or W2?

1099W2
Credit Score: Ex.620
Where do you work? Place
How long have you worked on with this employer?
Ex. 1 year or x months
Annual Income :
$
Do you have savings?

YesNo
Do you currently Rent or Own?
If you answered Yes, on the previous question, How much is your current rent? Montly Amount
Do you have to sell a property in order to purchase?

YesNo
Have you ever owned a house in the United States?

YesNo
Have you been Pre-approved?

YesNo
Appointment:
- Locations Interested In
  Cities, Towns, Counties, Areas
- # of Bedrooms
- # of Bathrooms
- When would you like to move in?
  Date
- Price Range $
- Desired Maximum Montly Payment
- What option are you interested in?
  
  New ConstructionRe-sale/ Used House
- What Type of property you are looking for?
  
  Single Family HomeTownhomeApartmentOther
- Please share any additional requests or information you would like me to know about you or your preferences:
- Please share the address and any valuable information about your property along with the reason for selling it:
- Should be Empty:

Client Information for Initial Real Estate Consultation