Buyer Information Form First Name * Last Name * Email * Phone * Current Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Own/Rent? Own Rent If you own, do you need to sell your house first to purchase? Yes No Is your home currently on the market? Yes No I am planning to purchase in Not SureRight AwayWithin 3 monthsWithin 6 monthsWithin 9 monthsWithin the next year Spouse's Info First Name Last Name Email Phone Property Questions Desired area to purchase (County, City or Neighborhood) Price Range Under $100K$100K-$150K$150K-$200K$200K-$250K$250K-$300KOther Other Price Range Number of Bedrooms Number of Bathrooms Age of Home New ConstructionResellBoth Garage Yes No Size of Home 1,500 sqft or less1,500-2,000 sqft2000-2,500 sqft2,500-3,000 sqftOther Other Size of Home Size of Lot Typical Neighborhood Lot1 AcreOther Other Size of Lot Comments (Be Specific) Lender's Info Will you be paying cash or using a Lender for financing? Cash Lender What is the name of the Lender? (If none, we can refer you to a Lender) Submit
