First Name:
Last Name:
Email Address:
Phone Number:
Address:
City:
State:
Zip Code:
Are you currently working with a Realtor?
When are you looking to move? Choose an option Right now 1-3 months 3-6 months 6-12 month More than 1 year
Property Information
What type of property are you looking for? Choose an option Single Family Home Condominium Land
What will the property be used for? Choose an option Primary residence 2nd home / Vacation home Investment
What price range are you looking in?
Where would you like your home to be?
# of bedroom preference:
# of bathroom preference:
Square foot preference:
School preference:
Garage? Choose an option No Yes, 1 space Yes, 2 spaces Yes, 3+ spaces Doesn't matter
Pool? Choose an option No Yes, private Yes, community Doesn't matter
What, if any, special requirements are you looking for in a new home?
Purchase Information
How do you plan to purchase your home? Choose an option Cash Financing
Do you need to sell a home before purchasing? Choose an option No Yes, and I need help Yes, and I don't need help
Do you need financing help?
Have you been pre-approved?
If yes, for how much?
If yes, who is the lender?
Aside from any pre-approval, how much do YOU feel comfortable with in regards to a mortgage and/or monthly payment?
Is there any additional information I should know?
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