Contact Information
Buyer 1
Legal Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Birthdate
Please Select
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please Select
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Day
Contact Information
Buyer 2
Legal Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Birthdate
Please Select
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please Select
1
2
3
4
5
6
7
8
9
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11
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Day
Current Real Estate Position
What is your living situation?
Renting
Own
Other*
*If Other please explain:
If you own a home, do you need to sell your current home before you purchase your next home?
Yes
No
Unsure
If you have a home to sell locally, what is the address?
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
If you are renting, when does your lease expire?
-
Month
-
Day
Year
Date
Please list your Kids/Pets Names & Ages:
Purchasing Plans
What is the reason for your move?
What is your timeline for finding the right property or home?
Immediately
Within 1-2 Months
Within 6 Months
Within a Year
Just Casually Looking
Are there any specific neighborhoods, cities, or school districts that you would like to purchase in? If so, what are they?
What is your preferred budget?
Are you pre-approved?
Yes!
Not Yet!
What are your top three "must-have's" in your next home?
Has an agent taken you out and shown you any properties?
Yes
No
Do you have any other questions or concerns that you would like to discuss when we meet?
How did you hear about us? If you were recommended to us, whom can we thank for the referral?
Submit
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