Buyer Profile We will not use this information for any other reason than to fulfill your request. Information provided here will be considered private information. Please remember to click submit at bottom of page when finished filling out profile.
Contact Information (* items are required)
Buyer		Spouse
First Name*		First Name
Last Name*		Last Name
Home Phone*		Home Phone
Work Phone		Work Phone
Fax		Fax
Email*		Email
Best Way To Contact	--Select One-- E Mail Call Fax	Best Time to Contact
Current Address
Street No.
Street Name
City
State
Zip

Purchase Information (Please provide as much data as you can to help us serve you better)
Expected Purchase	---Select One--- 0 - 30 days 30 - 60 days 60 -90 days > 90 days	Relocating	---Select One--- Yes No
Must Sell Home	---Select One--- Yes No	Current House on Market	---Select One--- Yes No Under Contract Sold
Prequalified with Finance Company	---Select One--- Yes No Has Appointment	Seeking	---Select One--- Home Condo Land Multifamily Commercial
Price Range (eg. 150000)  Low$ High$

Desired Property Information (Please provide as much data as you can to help us serve you better)
Area		Style	-- Select One -- Two Story/Slab Two Story/Crawl Ranch/Slab Ranch/Crawl Two Story-Basement Ranch - Basement Bi-Level Multi-Level Tri-Level Quad-Level Condo PUD Town House Split Foyer Hi Rise Duplex MutliPlex Commercial
No. Bedroom		No. Bath
No. Sq Feet - Range		Age - Range
Special Features

Financing Information (If you have contacted a mortgage company please fill below)
I need mortgage help?	--Select One-- Yes No
Company
Contact Name
Phone
Fax
Email