Contact us for more information
Name
Last Name
Address
City
State
Zip
* email:
Home #
Cell #
Work #
Are you working with a realtor?
Yes No
What type of home are you looking to purchase?
Condo Townhome Single Family Retirement
Other?
What is the new home price range your are looking for?
$190,000 and below $190,000-$210,000 $210,001-$250,000 $250,000-$290,000 $290,001-$325,000
$325,001-$375,000 $375,001-$400,000 $400,001-$450,000 $450,001-$500,000 $500,001-$550,000
$550,001-$600,000 $600,001-$675,000 $675,001+
How many bedrooms do you need in your new home?
1 2 3 4 5+
How many bathrooms do you need in your new home?
1 2 3 4+
Library/Den
Yes No
How many garages do you need in your new home?
1 2 3 4+
Open Foyer
Yes No
What size square foot home are you looking for?
Less than 1200 Sq. Ft 1300-1500 sq.ft. 1600-1800 sq.ft. 1900-2100 sq.ft. 2200-2500 sq.ft.
2600-2900 sq.ft. 3000-3400 sq.ft. 3500-3900 sq.ft. 4000+ sq.ft.
What size lot do you want?
1/5 Acre or less 1/4 acre 1/3 acre 1/2 acre 3/4 acre 1 acre 2 acres Other
In what area(s) would you like to live?
What is your anticipated down payment?
5% 10% 15% 20% Other
Other downpayment amount
What are the reason (s) you are looking to buy a new home?
Luxury Features Better Location Less Space Schools Amenities Larger Lot
Investment Better Neighborhood More Space Transfer Other
What type of home do you have now?
Condo Townhome Single Family
How many years in your current home?
What is your present home ownership status?
Rent Own home need to sell (listed)
Own home Need to sell (not listed) Own home, will rent
Sold home
Current monthly payment?
Mortgage balance?
Value of current home?
How long have you been looking for a new home?
How soon do you want to buy a new home?
1 Month 2-3 Months 4-5 Months 6-7 Months
8-9 Months 10+ Months
What type of financing are you considering?
FHA VA Conventional Construction Permanent
Refinance
What is your household income range?
Below $40,000 $40,000-$55,000
$50,000-$70,000 $70,000-$85,000
$85,000-$100,000 $100,000-$115,000
$115,000-$130,000 $130,000+
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