• Buyer Intake Form

    Share your home goals, budget, timeline, and contact details so we can plan your next steps.

  • Hi {greetingFirst}, before we start touring homes, a few questions to help me find exactly what you're looking for.

  • About Your Search

  • Where are you searching? (check all that apply)*
  • Which Maryland counties?*
  • Which DC quadrant?*
  • Which Virginia counties or cities?*

  • Preferred Areas

  • Why are these areas important to you?*

  • Style

  • What style or type of home are you picturing?*
  • What type of property are you looking to acquire?*
  • Flood Disclosure: Part of the property you're considering could be in a flood zone where flood insurance is required or restricted construction applies. Premiums have been rising under federal law changes, so check current rates before assuming past premiums will carry over.
  • 'Coming Soon' Notice: Some Maryland listings show as 'Coming Soon' in the MLS before they're available to show. These cannot be shown until they go active.
  • New Home Builders & Open Houses: To avoid confusion over representation, please don't visit a new home builder's model or enter an open house without me — always loop me in first.
  • Agreement Term: In DC, this buyer representation agreement can only be ended early by mutual written consent from both of us — not unilaterally by either side.
  • Megan's Law Notice: You're welcome to look up registered sex offender information yourself through the Virginia State Police at (804) 674-2000 or vspsor.com — I'm not able to provide or interpret that information for you.
  • Wire Fraud Warning: Never send bank account or routing numbers by email. If you get wiring instructions that appear to be from me or anyone on this transaction, verify by phone using a number you already have — not one from the email itself — before sending anything.
  • I'm not your attorney, tax advisor, lender, appraiser, surveyor, or home inspector. For anything in those areas, please get your own professional advice.
  • Older home, newer home, or new construction — any preference?
  • Will this be your primary residence, a vacation home, or an investment property?

  • Budget and Financial Readiness

  • Are you currently in a lease?
  • When does your lease end?
     - -
    2 digit month, 2 digit day, 4 digit year
  • Have you been pre-qualified or pre-approved for a mortgage?
  • Have you been saving to buy a house?*
  • Format: (000) 000-0000.
  • How much are you planning to put down?
  • Would you be interested in down payment assistance programs?

  • You don't have to have perfect credit to buy — this just helps us plan the right approach with you.

  • What's your credit score range?

  • Anything Else on Your Wish List

  • Anything else on your wish list?

  • Timeline

  • What's your timeline to buy?*
  • Do you have a home to sell or rent?*
  • Are you selling or renting?
  • Is it currently listed?
  • When do you need to sell or rent it by?
     - -
    2 digit month, 2 digit day, 4 digit year
  • Are you currently working with another agent?

  • Expectations

  • How did you hear about me?*
  • Format: (000) 000-0000.

  • Contact Details

  • Format: (000) 000-0000.
  • Date of birth
     - -
    2 digit month, 2 digit day, 4 digit year
  • Will there be an additional buyer on the loan?
  • How many buyers total will be on the loan, including you?*
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Do you want a home warranty included in your offers?*
  • Which home warranty company?*
  • Format: (000) 000-0000.
  • Who should order the home warranty?*
  • Do you generally want a financing contingency included in your offers?*
  • Earnest money deposit: we typically recommend about 1% of the sales price — for example, a $300,000 home would suggest a $3,000 deposit. This isn't an extra cost: it's credited toward what you owe at closing. The funds need to be available quickly, usually within a few days of going under contract.
  • Do you consent to dual agency?*
  • Do you consent to being shown a home listed by another agent at my brokerage? (designated representation)*
  • Are you participating in a relocation program?*
  • Do you hold an active or inactive real estate license?*
  • Format: (000) 000-0000.

  • Additional Buyer

  • Which state will you likely be buying in (dropdown)?*
  • Which state will you likely be buying in?*
  • Which title/settlement company would you like to use?*
  • Do you plan on getting a home inspection?*
  • Home inspection time frame*
  • Do you want a termite inspection?*
  • If the appraisal comes in low: DC's standard contract fixes both response windows at 3 days each (not adjustable like Maryland's) — 3 days to negotiate a new price, then 3 more days for the buyer's final decision if no agreement is reached.
  • Which state will you likely be buying in?*
  • Should be Empty: