Buyer Intake Form
I'm looking forward to assisting you in the purchase of your new home!
Buyer #1 Name
First Name
Last Name
Email
example@example.com
Phone Number
Buyer #2 Name
First Name
Last Name
Email
example@example.com
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you currently own your home or rent?
Own
Rent
If you own your home, will you be selling ?
Yes
No
Considering Renting the Home
Is this your first time purchasing a home?
Yes
No
Tell Me About Your Home
What is your desired timeframe to purchase?
0 - 3 months
3 - 6 months
6 months - 1 year
When the time is right
What are your desired locations?
Indicate Price Range
$-$$$ USD
Have you been approved by a lender?
Please Select
Yes
No
If Yes Specify Lender Name
Are you currently working with another agent?
Please Select
Yes
No
Indicate the primary purchase of property
Please Select
Yes
No
What method of payment do you prefer?
Please Select
Cash
Loan
Preferred style of home
Single-Family House
Apartment/Loft
Townhouse
Ranch Style
Condo
Split Level
Number of Bedrooms
Number of Bathrooms
Square Feet
Enter a Range: e.g. 1000 - 7000
Acres
Enter a Range: e.g. 05 acres - 10+ acres
Essential Features
Fenced-In Yard
Finished Basement
Deck or Patio
Sky Lights
Not on a Busy Road
Updated Kitchen
Updated Bathroom
Primary Bathroom Ensuite
Main-Level Bedroom
Main-Level Bathroom
Au-Pair/In-Law Suite
Attached Garage
Detached Garage
Specific School District
Laundry Room
Hardwood Flooring
Disability Access
Other
Specify Desirable Features (not essential, but nice to have)
Additional Information
Are you open to properties in a HOA?
Please Select
Yes
No
Submit
Should be Empty: