Buyer Intake Form for South Florida Homes
Provide your details and preferences to start your home search with Monique Bezear.
Contact Information
Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Preferred Contact Method
*
Phone
Email
Text Message
If renting when does your lease expire?
-
Month
-
Day
Year
Date
Do you have to sell your current home before buying?
Yes
No
Representation
Are you currently working with a real estate agent?
*
Yes
No
Financing
Are you pre-approved for a mortgage?
*
Yes
No
Lender Name
Lender Contact Information
Would you like a referral to a trusted lender?
Yes
No
Budget
Preferred Purchase Price Range
*
Estimated Down Payment
Comfortable Monthly Payment
Property Preferences
Preferred Cities/Areas in South Florida
*
Property Type
*
Single Family Home
Condo
Townhouse
New Construction
Other
Number of Bedrooms
Number of Bathrooms
Must-Have Features
Deal Breakers
Timeline
Desired Move-In Date
-
Month
-
Day
Year
Date
Programs
Which programs are you interested in?
FHA
VA
Hometown Heroes
Grants
Not Sure
Additional Notes
Additional Notes
Schedule Your Consultation with Monique
Would you like to schedule a consultation?
*
Yes, please contact me to schedule
No, not at this time
Appointment
Submit
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