Buyer Information Form First Name * Last Name * Email * Phone * Current Address City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming 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 Sure Right Away Within 3 months Within 6 months Within 9 months Within 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-$300K Other Other Price Range Number of Bedrooms Number of Bathrooms Age of Home New Construction Resell Both Garage Yes No Size of Home 1,500 sqft or less 1,500-2,000 sqft 2000-2,500 sqft 2,500-3,000 sqft Other Other Size of Home Size of Lot Typical Neighborhood Lot 1 Acre Other 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
