1st Time Home Buyer Intake Form
Lets Build Wealth Together!
Name
*
First Name
Last Name
Age
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you employed?
*
Yes - I have a W2
Yes - I am Self Employed
No
No - I receive some form pension or social security
What is your profession?
What is your annual salary range?
*
$250K+
$150-$200K
$100-$150K
$75-$100K
Below $75K
What's your credit score range?
*
800 +
750-800
700-750
650-700
Below 650
Do you currently own real estate?
*
Yes
No
I co-own
I rent
If you rent, what's current monthly rent?
Type N/A if not applicable to you
What area's are you interested in purchasing?
What's the reason you want to own real estate?
*
Please schedule a time with me to introduce yourself.
*
Submit
Should be Empty: