Information About You (choose any that apply):
I am a first time home buyer.
I am a senior home buyer.
I am interested in trading up to a larger home.
I am interested in stepping into a smaller home.
I am interested in receiving your online monthly newsletters, "Real Estate Update" and "Real Estate CyberTips and Tricks."
Name: Email Address: Second Email Address You Would Like Information Sent To: How Often Do You Check Your Email? More Than Once a Day Daily More Than Once a Week Weekly Other Address: City: State: Zip/Postal Code: Home Phone: Work Phone: Ext. Fax Number: Best Time and Method to Reach You (choose all that apply): Morning Afternoon Evening Email Phone I Am: Working with an Agent Not Working with an Agent Looking for an Agent What is Your Reason for Wanting to Move?
How Soon Do You Wish to Move? Immediately 3 - 6 Months 6 - 12 Months No Hurry How Long Have You Been Looking? Just Started 1 - 3 Months 3 - 6 Months 6 - 12 Months Do You Presently: Own Rent If You Own, Do You Need to Sell Your Home Prior to Purchasing Another? Yes No If You Own, is Your Home Currently on the Market? Yes No Are You Currently Pre-Approved for a Mortgage? Yes No Information About Your Next Home
Preferred TOTAL Monthly Payment: $1,000 or less 1,000-1,200 1,200-1,400 1,400-1,600 1,600-1,800 1,800-2,000 2,000 or more Not Applicable Down Payment (as a percentage of purchase price): 5% or less 5-10% 10-15% 15-20% 20-25% 25-30% 30% or more All Cash Purchase Price Range of Home: From: To: Area(s) Desired:
Age of Home: (choose all that apply) New construction 0 - 5 Years 6 - 10 Years 11 - 25 Years 26 - 50 Years 51 - 100 Years 100+ Years Type: (choose all that apply) Single Family Detached Single Family Attached Condominium Townhome Senior Community Style: (choose all that apply) Ranch Two Story Raised Ranch Tri-Level Quad-Level Other Bedrooms: Baths: Basement: Yes No Garage: None Carport 1 Car Garage 2 Car Garage 3 or More Car Garage Maximum Commute Time: Minutes Do You Need Public Transportation? Yes No State Specifically Any Special Features You Require (interior and exterior):
State Specifically Any Special Needs You Have (i.e. school, medical):
Is There Any Other Information You Would Like Me to Provide You?
Questions, Comments or Concerns:
If You Are Relocating to North Lake County, Illinois
Would You Like a Complimentary Relocation Package on North Lake County, Illinois? Yes No
How Many Times Have You Relocated? If You Are Being Relocated for Business Reasons, What is the Name and Location of Your Employer?
If You are Being Relocated for Business Reasons, Is Your Employer Offering You a "Relocation Package"? Yes No
Describe Your Current Home:
When Will You Be Here to Search for a Home?
If you are interested in purchasing a home in the next six months, it is best to be pre-approved for a mortgage in advance. This is to your advantage. It will simplify and expedite your home search and present you as a stronger buyer during negotiations. Would you like me to have a loan officer contact you in order to get your loan pre-approved? Yes No