Home Buyer Preliminary Information
Thank you for giving me the opportunity to earn your business. Please fill this information as complete and honest as possible so that I can provide you with the best service possible.
Today's Date
*
-
Month
-
Day
Year
Date Picker Icon
Contact Info
Please fill out information for ALL people that will be making the purchase.
First & Last Name
*
Name Prefix
Please Select
Mr
Mrs.
Ms.
Other
Name preferred to be called
Best email address to contact you
*
Best phone number to reach
*
Additional contact numbers
(2nd Person) First & Last Name
Name preferred to be called
Name prefix
Please Select
Mr
Mrs.
Ms.
Other
Best email address to contact you
Current Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Best phone number to reach
Additional contact numbers
Best times of day to contact
How did you find out about me
Additional contact info, such as preferred method of contact. Any additional contact information that may be important.
Home Information
Please enter as much information as possible so that I can serve you better.
What is your time frame to be in your new home and why?
*
Do you currently own or rent a home?
*
Own
Rent
Other
If you currently own do you plan to rent or sell the home?
Rent
Sell
Other
If you currently own, is buying a new home contingent on the sell of your current home?
Yes
No
Maybe
Do you plan to buy in North Carolina?
*
Please Select
Yes
No
Undecided
What county?
*
Have you been pre-approved for a mortgage loan?
*
Yes
No
If yes, what is the pre-approval amount and what institution?
If you have not been pre-approved for a loan what is your estimated credit score? What source did you use?
What type of home are you looking for?
*
Any
Single Family
Condo
Townhome
Land
Other
If other, include details.
Desired number of bedrooms
*
1
2
3
4+
Desired number of bathrooms
*
1
2
3
4+
Age of home
*
No preference
New Build
15 Years or less
16 years or more
Desired zip codes or neighborhoods?
Must haves (garage, school district, etc.)
Wish list- You would like but can go with out (stainless steel, shed, hardwoods.
Additional info. Anything that you feel is important to add.
Additional Info
Personal Info that will help me serve you better. Not required, but recommended.
Buyer Birthday
-
Month
-
Day
Year
Date
Name
First Name
Last Name
(2nd person) Buyer Birthday
-
Month
-
Day
Year
Date
Name
First Name
Last Name
Occupation
Hobbies, activities, things like to do
Thank you for your time. I am looking forward to helping you reach your goal of moving into your new home.- Richard Thomas, Real Estate Broker
Submit
Should be Empty: