Homebuyer Pre-Qualification Intake Form

1

Full Name* This field is required.

First Name

Last Name

2

Phone Number* This field is required.

Please enter a valid phone number.

3

Email* This field is required.

example@example.com

4

Are you currently* This field is required.

Renting

Owning

Living with family

5

Where are you looking to buy?* This field is required.

City/area

6

When are you looking to move?* This field is required.

0–3 months

3–6 months

6–12 months

Just exploring

7

Monthly household income* This field is required.

8

Estimated credit score range* This field is required.

9

Monthly debt estimate* This field is required.

10

Do you have savings for buying a home?* This field is required.

Yes

No

Working on it

11

How much?

12

Are you pre-approved?* This field is required.

Yes

No

Working with a lender

13

What is your main goal?* This field is required.

Buy my first home

Upgrade my current home

Investment property

Not sure yet

14

I confirm that I am not already working with a real estate agent or broker* This field is required.

I confirm that I am not already working with a real estate agent or broker