• Residential Buyer Information Request

    I am asking that you please fill out this properly and return it to me as soon as possible so I can begin narrowing your property search. Thanks! - Fay Brink, Realtor®
  • Birthday (Buyer 1) - I like to celebrate you! [optional]
     - -
    2 digit month, 2 digit day, 4 digit year
  • Birthday (Buyer 2) - I like to celebrate you! [optional]
     - -
    2 digit month, 2 digit day, 4 digit year
  • Anniversary Date (if married)- Asking this so I can celebrate you both when the time comes! [optional to answer]
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Do you need to be within a certain distance or amount of drive time from your work ideally? If so, what is that limit for you?

  • Have any other agents shown you homes?
  • Is anyone buying the home with you?
  • Are you Renting or do you Own a Home?
  • Homeowner - Question 1: Do you need to sell your home before you buy?
  • Homeowner - Question 2: Have you signed a listing agreement to sell your current home?
  • Initial Buyer Consultation Appointment
  • Preferred Means of Communication
  • Are you pre-approved for a mortgage with a lender?
  • Do you need or want to know if you qualify for down payment assistance programs?
  • Number of garage spaces needed
  • Preferred Type of Property (may select more than one)
  • Do you want a pool on your property?
  • Is this going to be your first time buying a home?
  • Thank you for taking the time to fill out this form, it helps me immensely! I'd love to help you find your perfect home. All that we need to do is set an appointment so that I can help you find the home you're looking for. I will use this form to pull properties from various sources that fit the bill and give you a call within a day or two to set that appointment with you!

  • Should be Empty: