Property Use
Primary Residence
Secondary Home
Investment Property
When do you plan to purchase your home?
Signed a Purchase Agreement
Offer Pending / Found a House
Buying in 30 Days
Buying in 2 to 3 months
Buying in 4 to 5 Months
Buying in 6+ Months
Researching Options
Would you like to include a budget for a remodel in your purchase?
$
Are you a first- time home buyer?
Yes
No
Active or previous U.S Military Service?
Yes
No
Are you currently working with a real estate agent?
Yes
No
What is the purchase price of the new home?
$
Down Payment
$
Credit Profile
720+ Excellent
660-719+ Good
620-659 Avg
580-619 Below Avg.
579 Poor
Employment Status
Employed
Self-Employed
Retired
Not Employed
Any Bankruptcy in the Past 3 Years?
Yes
No
Full Name
*
Phone
*