Buyer Intake Form
Rebecca Duff | REALTOR®
Full Name Buyer #1:
First Name
Last Name
Email:
example@example.com
Phone Number:
Format: (000) 000-0000.
Address:
Occupation:
Full Name Buyer #2:
First Name
Last Name
Email:
example@example.com
Phone Number:
Format: (000) 000-0000.
Address:
Occupation:
Are you a first time home buyer?
yes
no
Are you currently renting?
Yes
No
When is your lease up / are you month to month?
Do you currently own a home?
yes
no
If yes, do you need to sell it first?
yes
no
N/A
Would you like a listing consultation?
yes
no
N/A
Have you been pre-approved for a mortgage?
yes
no
I need a mortgage broker recommendation
If yes, could you provide the mortgage brokers name/ email address
What is your budget range?
e.g., 100,000
How soon would you like to purchase/ time frame for moving?
Preferred location
What do you like about those areas?
Details for what you are looking for in your new home: i.e. number of bedrooms, number of bathrooms, outdoor space, etc.
Preferred style of home? e.g. single family, townhouse, condo
Please list MUST haves for your new home
What best describes your current situation?
First time home buyer
Own a home/ looking to sell & upsize
Currently renting
Looking to buy investment property
Looking for commercial property
Best time to contact you?
Please Select
Morning
Afternoon
Evening
Each office is independently owned and operated. Not intended to solicit buyers/ sellers already under contract.
Submit
Should be Empty: