Buyer Information

Name

Address

City/State/Zip / /

Home Phone Work Phone Cell

E-mail

Please answer these questions:

1. How long have you been looking? months

2. Are you working with another salesperson/broker? Yes No

If yes, who?

If yes, have you signed a buyer broker agreement with that agent? Yes No

3. How many family members will be living in the house you purchase?

4. Do you own now or are you renting? Yes No

If renting, how long on the lease? months

5. Do you have to sell or complete the lease period before buying? Yes No

6. Have you seen any homes/investment properties that you really liked? Yes No

If yes, why didn't you buy?

7. How soon do you need to move? months.

8. If we can locate the right property, are you prepared to make a decision now? Yes No

9. What price range have you been considering? $ to $ .

10. Have you talked with any lenders about financing? Yes No

If yes, who?

If yes, have you been pre-qualified? Yes No

If yes, for what amount did you qualify? $

11. How much cash do you want to use for the down payment purchase? $

12. What is your monthly budget for house payments? $

13. What are you looking for in a house? # bedrooms? Size? sq.ft.
# Units? 1, 2, 3, 4,

14. Is there a particular city or location in a city you prefer?

15. Is there a particular style that you would prefer to purchase?
Ranch, 2-Story, Split-Foyer, Quad-Level, other

16. Is there anyone else who will be helping you make the decision about buying?
Parents, Spouse, other

17. What special requirements do you need in your new property (such as handicap accessible, non-smoker, pets)?

18. Where are you and/or your spouse employed?
You . How long? years
Spouse . How long? years

19. What times, what days are best of the day for you to look at property?
Times Days

20. How would you like us to communicate with you?
Phone, Fax, Mail, E-mail - Address or Number

21. What is the best time to have someone call you?