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Buyer Intake
Buyer Intake Form
Buyer Intake Form
First Name
Last Name
Email
Phone/Mobile
Address
Address Line 1
Address Line 2
City
State
Zip Code
Are you Married?
- Select -
Yes
No
Spouse Name
First Name
Last Name
Spouse Email
Spouse Address (If Different from above)
Address Line 1
Address Line 2
City
State
Zip Code
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Tell Me About Your Home
Indicate Price Range
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Have you been approved by a lender?
- Select -
Yes
No
If Yes Specify Lender Name
Are you currently working with another agent?
- Select -
Yes
No
Indicate the primary purchase of property
- Select -
Yes
No
What method of payment do you prefer?
- Select -
Online
Card
Preferred style of home
Single occupancy house
Flat
Bungalow
Apartment/Loft
Ranch Style
Split Level
Number of Bedrooms
Number of Bathrooms
Square Feet
Acres
Amenities
Central Air Conditioning
Central Air Conditioning
Appliances
Sky Lights
Specify additional amenities
Additional Information
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