Buyers Wish List

First Name

Last Name

Street Address

City

Zip

Phone

Rent

Own

Years at this address

Reason for move

Is this date flexible?

Yes

No

If not, why?

Moving From

Referral Service

Do you need to sell your present home before moving to the next home?

Yes

No

Sold $

Equity $

How long have you been looking for a home?

Have you seen any homes you like?

Yes

No

If yes, why didn’t you buy?

Are you looking for homes with any other sales associates? (required)

Yes

No

Have you ever bought a home before?

Yes

No

Does anyone else need to be consulted prior to you buying a home? (required)

Yes

No

If yes, please explain:

What do you like about your present home?

What would you change about your present home?

Do you have any hobbies, interests, lifestyle factor that would affect your housing needs?

Do you anticipate any changes that may affect those needs?

Bedrooms

Bathrooms

Style

Lot Size

Others

Buyer's Wish List