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
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
2 digit month, 2 digit day, 4 digit 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
2 digit month, 2 digit day, 4 digit year
Date
Programs
Which programs are you interested in?
FHA
VA
Hometown Heroes
Grants
Not Sure
Additional Notes
Additional Notes
Submit
Should be Empty: