Home Buyer Worksheet

                                        *  Indicates Required Field                            


*Last Name:       * Home Phone:

* First Name:  Work Phone:   * email:

First Name:  Work Phone:  email:

* Street Address:

* City:  * State:   * Zip:

* To help you achieve your goals in relation to buying a home, I need to ask you some questions that will help me to understand how I can serve you best. Tell me, what is the primary reason you are interested in finding a new home? 

How many children do you have?  What are their names:
#1:
 Age:  #2:  Age:  
#3:
 Age:  #4:  Age:  

Do you have any special school requirements?

* How many bedrooms would you like your home to have?   * Baths?

Approximately how many square feet are you looking for?

* What is the basic price range you would like to stay within?

* What is the absolute highest you would consider spending?

* Are there any areas you have in mind that you would like to look at?

* What attracted you to this area?

                  Please rate the importance of each feature that you would like in a home.
                                       1 being not important, 5 being very important.

                   Fireplace.......................     Closet Space........  
                   Entertainment area......      Den........................  
                   Family room.................      Modern kitchen.....  
                   Carpet color.................     Pool/Spa................  
                   Open feeling.................     Large yard.............  
                   Family neighborhood..     Low maint. yard.....  
                   Single story..................     Privacy....................  
                   Double story.................     BBQ area...............  
                   Dining room.................     View........................  
                   Close to schools..........     Close to shopping.  
                   Close to work...............     Location.................  


* Is there a special feature I have not mentioned that is important to you?

What I would like you to do now is describe what you would consider an ideal home for you. Tell me about the floor plan, decor, yard, etc.

* Tell me about your lifestyle. What do you see yourself doing in your new home? (Entertaining, relaxing, raising a family, etc.)

* What do you feel will be the key factors in your purchasing decision? (Price, terms, locations, etc.)

* What time frame do you have in mind for moving?

* What will you do if you do not find a home in that time frame?

* Do you need to sell another home before moving? Yes  No

If yes, is that home currently listed for sale? Yes  No  Asking Price?

How long has it been on the market?

Who is it listed with?  Phone Number:

* Would you like me to show how I can help you sell your home, or if your home is not local, can I refer you to one of my contacts in that area? Yes   No
* My goal is to help make buying your home a positive experience. To do that we need open communication between us. That way the little problems that naturally come up in buying a home can be handled easily and without stress. Is there anything that you would like to tell me that you feel might be helpful in our working together?  

* When is/are the best time(s) for me to call you?

* When is the best time for you to look at property?

Financial Information
In order to help you obtain the best interest rates & terms, I need to gather some basic financial

information. This will allow me to explore all options and to expedite your loan once we have located the right home for you. Providing this information is at your discretion. It will be held in total confidence and will be used only to help secure the most favorable financing terms possible on your behalf.

Employment Information:

Your Occupation:  Gross Monthly Income:

Who is your current employer?  Years employed:

Business Address:

Spouse's Occupation:  Gross Monthly Income:

Current employer?  Years employed:

Business Address:

Do you have other Sources of Income: Yes  No   Explain:

How many years have you been married?  Anniversary Date:

* How much money do you have available for a down payment?

* Where is the money coming from?

* Do you understand how financing a home works? Yes No 
* Closing costs? Yes No
* Loan origination fees? Yes No
* Title insurance? Yes No

Would you like me to send you some information about any of these items? Yes  No
Please list what you would like information on:

What forms of financing are you considering in purchasing a home?
Fixed Rate
Variable Rate
F.H.A.
V.A.

Do you have financing available through work, family or other means? Yes No
Please explain:


* Would you like me to recommend a mortgage representative who could prequalify you and go over with you exactly what is needed to get the best rates and terms to prequalify for a loan?
Yes No

If yes, when would be a good time for a loan representative to call you?

What bills do you have over $150.00 per month?


Car                                    Insurance          

Car                                    Boat                  

Credit Card                      Investments      

Credit Card                      Child Support  

Credit Card                      Alimony             
                                          Credit Card                      Other                

Other                                 Other                 

Please explain any "Other" monthly bills:

* Do you have any other major financial obligations that could have a bearing on the purchase of a home?


Thank you for taking the time to fill out this form. When you click on "Submit" it will be forwarded to me, and I will be in touch with you shortly!