Buyer Intake Form

Lyneise Coakley, Realtor (305) 925-0958 Better Homes and Gardens Real Estate FL 1st; coakleylyneise@gmail.com www.RealtorLyneise.com
Buyer Intake Form

Please provide information below, so we may better serve you.
Complete all required fields and as much of the rest as you can. The more information I receive the better your results will be. If you have any questions regarding the information you are asked, please coakleylyneise@gmail.com. Please see my Privacy Policy for any concerns regarding privacy.
Buyer's Name*

First NameMiddle NameLast Name
Co-Buyer's Name

First NameMiddle NameLast Name
E-mail*
Home Number

Area CodePhone Number
Cellular Number*

Area CodePhone Number
Work Number

Area CodePhone Number
- Locations Interested In*
  Cities, Towns, Counties, Areas
- # of Bedrooms*
- # of Bathrooms*
- Square Feet
- Price Range $*
- How soon are you looking to move?*
  Please indicate your move date range
- Down Payment Available*
  This is confidential information for your lender and is not shared with the seller.
- Have you been pre-approved for a loan yet?*
  This is confidential information for your lender and is not shared with the seller.
- TERMS OF SERVICE!
  
  View Complete Terms of Service, Special Offers, FAQ's and Privacy Policy at https://realtorlyneise.com. For more information on my services click here.
  
  1. As your Real Estate Agent, my services are designed to help you identify market savings that you would have otherwise missed. I have access to all Florida rentals, sales, investments on and off market properties. This allows me to save you time.
  
  2. FOR RENTAL APARTMENTS: In exchange for my Real Estate Services Provided at your request, should you see a property you must agree to indicate and acknowledge Lyneise Coakley as your Realtor and source of referral on any Guest Cards where you visit and on your leasing application. I will be notified once you are approved and have a Move-In Date, the complex will compensate me for my work and you can claim any specials that may be offered. THE COMPLEX MAY NOT NOTIFY ME, YOU MUST EMAIL OR COMPLETE THIS FORM.
- Should be Empty:

Lyneise Coakley, Realtor (305) 925-0958 Better Homes and Gardens Real Estate FL 1st; coakleylyneise@gmail.com www.RealtorLyneise.com

Buyer Intake Form

TERMS OF SERVICE!