Home Buyer's Form

Filling out this form will give us a good idea of your home, and what your situation is. This helps us find the best way to help you. Any question that you don't know or would rather not answer you can leave blank.

Basic Info

First Name:
Last Name:
Address:
City:
State: Zip:
Email:

Home:
Work:
Cell:
Easiest to reach:
Best time to call:

Ideal Home Description

Describe what you want your new home to be like.
I am looking for a place in these cities:
Property type:
(Hold CTRL to select multiple)
Bed:
Bath:
Garage:

My home price range is: $ - $
The largest monthly payment I can afford: $
The largest down-payment I can afford: $
How soon are you looking to move?
Why are you moving?
(Remember - It is more important to give accurate information than what you think we want to hear!)
Is there anything specific that you would like your new home to have?

Your current residence

Do you live in a house or apartment?
Do you rent or own?

Rent Own

What is your current monthly payment? $

Financial Information

My biggest challenge in becoming a homeowner is:

Other:

My credit score is:
Don't worry, bad credit will NOT automatically disqualify you!

Working Status

I am:
Monthly Take-Home After Taxes: $
I have proof of this income for at least 6 months: Yes No

I have a co-buyer I do not have a co-buyer

My co-buyer's credit is:

How did you hear about us?
Any other info:

Leave blank: Leave alone:

We will never, under any circumstances, give out or sell your personal information to any third party. We take your privacy very seriously.

Basic Info

Ideal Home Description

Your current residence

Financial Information

Working Status

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