Online Purchase Form (FMF)

1

Loan Officer

2

Employee Email

example@example.com

3

Employee Phone

Please enter a valid phone number.

4

Interested In

5

What is your ZIP Code?* This field is required.

6

How will this property be used?* This field is required.

Primary Residence

Secondary Home

Investment

Unknown

7

What type of property are you purchasing?* This field is required.

Single-Family Home

Condominium

Townhome

Multi-Family Home

Unknown

8

Have you or your spouse ever served in the military?* This field is required.

Actively Serving

Veteran

I have never served

10

Are you currently working with a real estate agent?* This field is required.

YESNO

11

Who is your agent?

13

What is your price range?* This field is required.

$750k or More

$250k-$500k

$250k or Less

Unknown

14

What is your preferred down payment amount?* This field is required.

A set amount

A set percentage

As little as possible

Unknown

15

How much?

16

What percentage?

17

What is your name?* This field is required.

First Name

Last Name

18

What is your email address?* This field is required.

example@example.com

19

What is your phone number?* This field is required.

Please enter a valid phone number.