New Buyer Client Inquiry Form

First Name

Last Name

Email Address

Phone Number (numbers only)

Home Address (optional)

Are you considering Buying a property, Selling or Both? Are you considering Buying a property, Selling or Both? Buyer Seller Both

Are you currently Employed or Self-Employed in a permanent (non-temporary) position for two years or more? Are you currently Employed or Self-Employed in a permanent (non-temporary) position for two years or more? W-2 Employee (non-temporary) Self-Employed Yes, but it has been less than 2 years

What is your Gross Monthly Income?

What is your Credit FICO Score? What is your Credit FICO Score? Lower than 580 Between 580 - 640 Between 640 - 720 Higher than 780 I'm not sure

Do you currently own a home? If so, will you selling it? Do you currently own a home? If so, will you selling it? Yes, I own a home, but I am not selling it Yes, I own a home, and I will be selling it No, I do not own a home

Have you filed Bankruptcy in the last 2 years Have you filed Bankruptcy in the last 2 years No, I have not filed Bankruptcy Yes, I filed Bankruptcy less than 2 years ago

Have you had a Foreclosure Loan Modification or Short Sale in the last 3 years? Have you had a Foreclosure Loan Modification or Short Sale in the last 3 years? No Yes

If yes, please explain.

Do you pay or receive Child Support or Alimony? Do you pay or receive Child Support or Alimony? No Yes

How much are you looking to put towards a down payment

Where are the funds coming from?

Anything else you would like to share or comment about you?