Buyer Intake Form

Name of Your Agent and Real Estate Company

If not represented, insert "Buyer"

Address of property being purchased

Street Number and Street Name

Buyer-1 : Full Legal Name (if Company include where incorporated)

Buyer-1 : Status

If more than one Buyer, how will the property be owned?

Buyer-2 : Full Legal Name (if Company include where incorporated)

Type "n/a" if not applicable

Buyer-2 : Status

Buyer-1 Email

example@example.com

Buyer-1 Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Buyer-1 CURRENT Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Will the purchase be by Loan?

Lender Name

Type "n/a" if not applicable

Loan Officer Name

Type "n/a" if not applicable

Loan Officer Email

Type "n/a" if not applicable

Loan Officer Phone

Type "n/a" if not applicable

Buyers are recommended to obtain a survey prior to closing and provide to title insurer before it issues a title policy. This will help to ensure there are no exceptions referencing issues that could have been found and/or resolved if a survey was performed.

Do you want us to order a survey of the property?

List invoices to be paid at closing (Inspection, etc)

Type "n/a" if not applicable

Homeowners Insurance Company

Type "n/a" if not applicable

Agent Name

Type "n/a" if not applicable

Agent Email

Type "n/a" if not applicable

Other instructions

Type "n/a" if not applicable

You agree to retrieve, review, and understand all homeowners and associations and/or and related ownership documents, restrictions, easements, affects and requirements thereof that concern or relate to the property prior to closing

BUYER INTAKE