Home Buying Client Intake
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Are you currently working?
W-2 (job)
Self-employed / 1099
Both (Must be documented by taxes)
How long have you been earning income?
Less than 1 year
1–2 years
2+ years
Do you have any Gaps in your employment history?
Yes
No
About how much do you make per year (before taxes)?
Under $35K
$35K–$60K
$60K–$90K
$90K+
What is your estimated credit score?
Under 580
580–619
620–659
660+
Do you currently owe any taxes?
Yes
No
Do you have money saved for buying a home?
No savings yet
$1K–$3K
$3K–$7K
$7K+
Are you a first-time homebuyer?
Yes
No
Do you currently have any of the following? (Check all that apply)
Late payments in the last 12 months
Collections or charge-offs
High credit card balances
Bankruptcy or foreclosure
None of the above
Do you currently have any major monthly debts?
Car note
Student Loans
Credit Card
Child Support
None
How soon are you trying to buy?
30-60 days
2-3 Months
3-6 Months
Just exploring (stop procrastinating)
What area are you interested in?
Bessemer/McCalla
Tuscaloosa
Birmingham
Trussville
Kimberly/Morris
Chelsea
Alabaster
Huntsville
Other
Area not listed? What area are you considering? I service the entire state of Alabama
Any questions for me?
Do you need credit repair?
Yes
No
Who can we Thank for your referral?
Submit
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