**Privacy Disclosure**

This questionnaire is intended solely for the exclusive use of Kurtis Wilson, (DRE#: 02012487), a licensed Realtor in the State of California, hereinafter referred to as "Agent," and the Broker of record, RE eBroker Inc. (DRE#: 01522411; NMLS#: 297152), hereinafter referred to as "Broker."

All information provided within this form shall be kept strictly confidential. Under no circumstances will any personal data be sold, shared, or distributed to any third party for advertising or solicitation purposes. However, certain information may be shared internally with affiliated entities, such as title companies, escrow firms, and lending institutions, as necessary for the fulfillment of the services requested.

By completing this form, you, the "Prospective Client," hereby affirm that the information you provide is accurate and truthful to the best of your knowledge. By submitting this form, you represent that you are of sound mind and judgment and freely consent to providing this information. It is also understood that the submission of this form does not constitute an Agent-Client relationship. This is merely an inquiry. 

Please be advised that any false, misleading, or fraudulent information submitted through this form is a violation of California state law. Such information will be promptly reported to the appropriate authorities. Utilizing this form for any unlawful purpose, including providing fraudulent data, constitutes a criminal act and will be prosecuted to the fullest extent of the law.

If you are a law-abiding prospective client seeking to buy, sell, rent, or lease real estate within the State of California, we welcome the opportunity to assist you in your real estate needs.