Buyers Information
Contact Information
* First Name:
* Last Name:
* Email:
* Phone:
Address:
City:
State:
Zip:
When do you plan to purchase your new home?
Within 6 Months
Within 1 Year
Over 1 Year
Not Sure
Tell Us About The Home You Are Looking For
Type of Home:
Single Family
Multi Family
Farm
Townhouse/Condo
Land Only
Mobile Home
Price Range
$0 - $100,000
$100,000 - $250,000
$250,000 - $500,000
$500,000 - $1,000,000
$1,000,000+
Number of Bedrooms:
1
2
3
4
5
6
0
Number of Bathrooms:
0
1
2
3
4
5
6
Interior Preferences:
Select All That Apply
Living Room
Family Room
Hardwood Floors
Laundry Room
Den/Study
Fireplace
Other Interior Features You Would Like:
Exterior Preferences:
Garage
Fenced
Swimming Pool
Water/Lake Front
Tile Roof
Other Exterior Features You Would Like:
Additional Information
Have you ever been pre-qualified for a mortgage?
No
Yes
Do you have a down payment?
No
Yes
Have you had a credit report done lately?
No
Yes
Let us know any questions, comments or concerns you may have:
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