Buyer Intake Form
Please fill out this form to help me understand your home buying needs and preferences.
Buyer Contact & Household Info
Buyer Full Name
*
First Name
Middle Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Preferred Contact Method
*
Text
Call
Email
Spouse / Co-Buyer Name
First Name
Middle Name
Last Name
Home Search
Where are you looking to purchase?
*
Cape Coral
Fort Myers
North Fort Myers
Punta Gorda
Lehigh Acres
Babcock Ranch
Estero
Bonita Springs
Naples
Other
Desired price range
Target monthly housing payment
Minimum bedrooms
Minimum bathrooms
Property types
Single Family
Condo
Townhome
Villa
New Construction
Multi-Family
Land
Not Sure
Desired features
Pool
Waterfront/Gulf Access
2+ Car Garage
3+ Car Garage
Large Lot
New Construction
Gated Community
No HOA Preferred
Home Office/Den
Impact Windows
Other
Must-have features
Deal-breakers
Ideal move-in or purchase timeframe
*
ASAP
0–3 months
3–6 months
6–12 months
Just Exploring
Financing
How do you plan to purchase?
*
Cash
Financing
Not Sure
Are you currently preapproved?
*
Yes
No
In Process
Lender / Mortgage Company
*
Loan Officer Name
Loan Officer Phone or Email
Upload Preapproval Letter
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Would you like me to connect you with a trusted lender?
Yes
No
Maybe
Anticipated financing type
*
Conventional
FHA
VA
USDA
Cash
Not Sure
Are you interested in down-payment or closing-cost assistance?
Yes
No
Maybe
Current Situation
Are you a first-time homebuyer?
*
Yes
No
What is your current housing situation?
*
Own
Rent
Live with family or friends
Other
Do you need to sell a property before purchasing?
*
Yes
No
Not Sure
If yes, what is the current property city or address?
Would you like Cesar to provide a complimentary home value and market analysis?
Yes
No
Property Interest & Showings
Properties you already like (links or addresses)
When would you like to begin touring?
*
ASAP
This week
Within 2 weeks
Within a month
Not ready yet
Preferred showing days/times
Final Details & Consent
Anything else Cesar should know?
Acknowledgment and consent
*
I authorize Cesar Bacares and Marzucco International Real Estate to contact me regarding my real estate inquiry by phone, text, and email. Consent is not a condition of purchase.
Electronic signature
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Submit
Should be Empty: