Name *

First Name

Last Name

Preferred Phone Number *

(###)

###

####

Birthday

MM/DD

MM

DD

YYYY

Spouse/Partner's Name (if applicable)

First Name

Last Name

Spouse/Partner's Preferred Phone Number

(###)

###

####

Have you previously owned a home or other real estate? *

Yes

No

Do you understand how the agent who helps you find and purchase your home is paid? *

Yes

No

Will you be making an all-cash purchase? *

Yes

No

Do you know how financing works?

Yes

No

Somewhat

Are you familiar with the tax benefits of buying a home? *

Yes

No

Somewhat

Do you have financing available through work, family, or other means? *

Yes

No

Have you spoken with a lender and been preapproved for a loan? *

Yes

No

If you have not already been preapproved for a loan, would you like me to recommend a mortgage representative who will preapprove you and review exactly what is needed to get the best rate and terms?

Yes

No

Name *

First Name

Last Name

Are You Already Working With A Broker? *

Yes

No