Formular

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SETTING YOU UP FOR SUCCESS!

THIS INFORMATION WILL NOT BE SHARED OR USED TO HARRASS YOU WITH MARKETING JUNK.

Your informaton is confidential!
I will NOT share it unless you ask me to.
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Completing this form will set us up for success.
This information is vital for me to understand your needs and will help you to think about what is important in your home search.
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Your name
First Name
Last Name
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E-mail
example@example.com
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Phone Number
Area Code
Phone Number
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How would you do prefer to communicate?
Phone, Text or Email?
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How many people in your family?
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Do you have school age children?
Yes
No
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Do you have pets?
Yes
No
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The Arizona Purchase contract requires that all offers be submitted with either Proof of Funds (if cash) or the AAR prequalification form if financied. This is your GOLDEN ticket to view homes and make offers. if you find the perfect home for you we need to be ready. Getting prequalified is TOP priority!
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Are you a first time home buyer?
Yes
No
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In what price range will be your next home?
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What monthly payment (total, including taxes and insurance) would you be comfortable making?
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How much cash are you expecting to use for downpayment and closing costs?
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How will you finance your new home?
New Loan
Cash
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Have you spoken with a lender?
Yes
No
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(if Yes) Do you have a prequlification?
If you have a prequalification please email it to me ModernDayAgent@gmail.com
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Would you like a lender referral? I work with best in the industry.
Yes
No Thank You
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How long have you been looking for a new home?
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Are you looking for an adult community?
Yes
No
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Have you seen anything that you liked?
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(if yes) what happened? Why didn't you buy it?
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How have you been searching? What tools, websites or methods are you using?
Realtor.com
Zillow
MLS Portal
Craigs List
Other
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Have you been working with another Realtor?
Yes
No
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(if yes) What is the status of your relationship with the other Realtor?
I signed buyer broker agreement
I want to make a change
I am working with multiple agents
Agent has shown me properties
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Why are you searching for a new home?
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When would you like to be in your new home?
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If we found your dream home today, is there any reason you could not purchase it?
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Current home address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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Do you rent or own?
Rent
Own
Staying with family
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Do you need to sell your present home to make this move?
Yes
No
Not Sure
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Is your present home on the market?
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Would you like me to do a market analysis on your current home?
Yes
No
It is out of Arizona
I am keeping my current home
Other
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What do you dislike about your present home?
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What do you like about your present home?
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What area/s are you looking to move to?
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Why there?
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Is this a 2nd home
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What schools, social activities, workplaces, amenities would you like to be near?
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What is the longest commute you would consider?
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Name at lease three things you MUST have in your next home.
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How many Bedrooms?Required
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How many Bathrooms?Required
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Square Foot?
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What style/layot it should have?
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What Style / Layout should it have?
All on one floor
Two Story
Open to 1 or 2 story
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Lot Size (acres)?
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Do you want a pool?
Private pool
No Pool
Community Pool
Golf Course
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What are some of the interior features would you like?
Den/Office
Walk in Pantry
Kitchen Island
Eat in kitchen
Gas cooking
Inside Laundry
Family Room
Great Room
Open Loft
Disability features
Mother-in-Law / Guest Quarters
Other
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Any message you would like to add.
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This will give us a real good start at ensuring we are on the right track to finding your perfect home!
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