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Laos
Latvia
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Luxembourg
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Office Address
Street Address
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City
State / Province
Postal / Zip Code
Please Select
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United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
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Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
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United Kingdom
Uruguay
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Vanuatu
Vatican City
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Vietnam
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Isle of Man
US Virgin Islands
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Western Sahara
Yemen
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Zimbabwe
Other
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23
Preferred Contact Method
Personal Phone
Personal Email
Office Phone
Office Email
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24
Children/DependentsDo you have any children or dependents?
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No
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25
Further Buyer Information
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26
Can you tell us more about how you heard about us?
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No
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How Did you hear about us? Check all that apply:
Past Client Referral
Open House
Print Ad
Direct Mail
Blog
Website
Online Search
Social Media
Other
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Please let us know the details of how you found us such as the specific person who referred you or the website, search engine, or mailer you saw. Thank you!
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Are you working with another agent?
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No
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30
What qualities in a Real Estate Consultant are important to you?
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31
Currently do you own or rent your home?
Own
Rent
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32
Must you sell before buying?
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No
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33
Are you currently preapproved for loan financing?
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No
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34
Anticipated Price Range
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Can you tell us more about your financial situation?
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Down Payment/Savings
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Gross Monthly Income (Optional)
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Monthly Long Term Debt Payment (Optional)
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Monthly Mortgage/Rent Payment
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40
Will anyone else be helping you make this buying decision?
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No
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41
When do you ideally want to move?
Date
Month
Day
Year
Date
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42
What are your reasons for moving?
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43
How long have you been looking?
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44
If we find you the right property, are you prepared to make a decision now?
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No
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45
What are your long term real estate goals? For example, some people are looking to purchase a home and live in it forever, while others are interested in a "starter home" which will help them to afford their "dream home" down the road.
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Buyer Home Search Information
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47
What type of home are you interested in? Check all that apply.
Single Family Home
Loft
Condo
TIC
Multi-Unit
Move-In Condition
Cosmetic Upgrades OK
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48
Other
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49
Three features you must have in your new home
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50
Three features you are willing to compromise on, if necessary
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51
Bedrooms
1
2
3
4
5+
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52
Bathrooms
1
1.5
2
2.5
3
3.5
4+
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53
Which of the following do you want in a home? Check all that apply.
Formal Dining
Home Office
Laundry
Fireplace
Yard
View
Parking
Garage
Proximity to Public Transit
Proximity to Public Highways
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Neighborhoods/Areas of Interest
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55
When do you hope to meet with buyer agents and form your team?
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Additional comments or things we should know
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