Client Information
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Current Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Preferred Method of Communication
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Phone
Email
Text
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Property Interests
What type of property are you interested in?
Please Select
Single
family home
condo
townhouse
Desired Location(s) or Neighborhood(s
What is your budget range for purchasing a property?
Are you a first-time home buyer?
Please Select
Yes
No
Financial Information
Have you been pre-approved for a mortgage?
Please Select
Yes
No
If yes, please upload a copy of your pre-approval letter.
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If no, do you need assistance with getting pre-approved?
Please Select
Yes
No
Do you have proof of funds available for the down payment and closing costs?
Please Select
Yes
No
If yes, please upload proof of funds (bank statement, letter from the bank, etc.).
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Are you planning to pay cash for the property?
Please Select
Yes
No
If yes, please upload proof of funds.
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Terms of Service
1. Buyer Agency Agreement
Do you understand that by working with me, you agree to a 3% buyer agency fee, which you will be responsible for at closing?
Please Select
Yes
No
Do you acknowledge that this fee is separate from and in addition to the purchase price of the property?
Please Select
Yes
No
2. Representation and Commitment
Do you understand that I will be representing your interests exclusively as a buyer’s agent?
Please Select
Yes
No
Do you commit to working exclusively with me as your real estate agent during your property search and purchase?
Please Select
Yes
No
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Additional Information
Are there any specific features or amenities that are must-haves for your new property?
Please Select
Yes
No
If yes, please list them.
Are you currently working with another real estate agent?
Please Select
Yes
No
If yes, please provide their name and contact information.
Is there anything else you would like me to know about your home search?
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Consent and Acknowledgment
I acknowledge that I have provided accurate information and understand the terms outlined above.
Please Select
Yes
No
I consent to be contacted by Candice Gaines at Luxe Legacy Consultants for the purpose of real estate services.
Please Select
Yes
No
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