Full Name

Email Address

Phone Number

Where are you looking to buy?

How do you plan to use your new home? How do you plan to use your new home? Primary Residence Vacation Property Investment Property

What type of home are you looking to buy? What type of home are you looking to buy? Single Family Townhome Condo Multi Family

Where are you in the home buying process? Where are you in the home buying process? Signed A Purchase Contract Found A Home Looking to buy in one month. Looking to buy in three months. Looking to buy in six months. Looking to buy in more than six months.

Have you or your spouse served in the Military? Have you or your spouse served in the Military? YES NO

Are you actively working with a realtor? Are you actively working with a realtor? YES NO

Is this your first time purchasing a home? Is this your first time purchasing a home? YES NO

What is the approximate price of the purchase property? What is the approximate price of the purchase property? 350K or below 351-500K 501-750K 751K-1.5 million above 1.5 million

How much do you have for a down payment? How much do you have for a down payment? 5% 10% 15% 20% 25% 30%

What is your current employment status? What is your current employment status? Employed Self Employed Retired

What is your credit score? What is your credit score? EXCEPTIONAL (800-850) VERY GOOD (740-799) GOOD (670-739) FAIR (580-669) POOR (below 579)

What is your household gross income? What is your household gross income? 30-75k 76-100K 101-150K 151-200K 200K or more