Buyer Intake Form

Buyer #1 Name*

First NameLast Name
Buyer #1 Phone Number*

Area CodePhone Number
Buyer #1 Email*
example@example.com
Buyer #1 Birth Date*

MonthDayYear
Buyer #1 What do you do for a living?*
800 to 850: Excellent740 to 799: Very good670 to 739: Good580 to 669: Fair300 to 579: Poor
Buyer #2 Name

First NameLast Name
Buyer #2 Phone Number

Area CodePhone Number
Buyer #2 Email
example@example.com
Buyer #2 Birth Date

MonthDayYear
Buyer #2 What do you do for a living?
800 to 850: Excellent740 to 799: Very good670 to 739: Good580 to 669: Fair300 to 579: Poor
Address*
Type of Property to Buy *
Desired Location (give north, south, east, and west boundaries, please):*
12345+Studio/Efficiency
12345+
Desired Monthly Payment*
Have you been pre-approved for a Mortgage?*
Desired Move-in Date*
Best available day/time to reach you? (Please check all that apply or specify)
InstagramFacebookFamily/FriendReferral (please put person's name in Other Box)Homebuyer Workshop or EventNetworking EventOther
Any additional information you would like to provide for better assistance?
Thank you for contacting Dr. Carla Bryan-Sheard, Real Estate Professional

*Please note that documents such as recent pay stubs for the past month, 2 most recent bank statements, ID, and tax returns for the last 2 years, may be required for consultation.* We will be in contact shortly.
Should be Empty:

Thank you for contacting Dr. Carla Bryan-Sheard, Real Estate Professional