Buyer's Information
First name:	* required
Last name:	* required
Email address:	* required
Phone:	* required
Alternative Phone:
Have you have been pre - approved for a loan ?:	yes no
If so, how much?:
	If not, we will help you get approved - this is your first step in the home buying process and you will need this to complete for this form.
Tell us about the home you want
	List 3 cities that you would like to live in, in order of preference:
State / Province:
	Do you have a home to sell ? yes no
	Will you  purchase rent
Are you currently working with a real estate agent to sell?	yes no
Are you currently working with a real estate agent to buy?	yes no
	Check the categories below that is important to you schools shopping parks / recreation child care transportation entertainment houses of worship
Square Footage (living space except basement & garage):	Choose one 0 - 500 500 - 1000 1000 - 1500 1500 - 2000 2000 - 2500 2500 - 3000 3000 or more
No. of Floors:	Choose one 1 2 3
Down payment ?:	* required
Price Range:	Choose one 0 - 300,000 300,000 - 600,000 600,000 - 900,000 900,000 - 1,200,000 No Limit
Bedrooms:	1 2 3 4 5 6 7
Bathrooms:	1 2 3 4
Garage:	0 1 2 3 4
Pool:	no yes
Basement:	no yes
Fireplace:	0 1 2 3 4 5
What type of property are you looking for?:	Choose one Single Family Townhouse Condominium Commercial
When are you planning to move ?	Choose one With in 30 days 60 days 90 days 6 months 9 months within 2 years undecided
How long have you been looking for a house ?	Choose one 30 days 60 days 6 months 1 year over a year
Income Information
	Buyer's Net Take Home Monthly Income ( After Witholding ) :  * required Income Type Employed by company Self - employed Investment Other Can you prove above income for the last 6 months ? yes no
	Co - Buyer's Net Take Home Monthly Income ( After Witholding ) :  * required Income Type Employed by company Self - employed Investment Other Can you prove above income for the last 6 months ? yes no Combined Monthly credit related bills
Combined Car        $ Loans	* required
Combined  Credit        Card Debt        $	* required
Student Loans        $	* required
Child Support         $  you pay	* required
Other Loan              $	* required
Credit Information
	Do you know your Credit Score ? yes no
If Yes , please provide If No go to:	* required www.annualcreditreport.com For a Free Credit Report
Anything else we should know ?: