General Information
*Name(s):
Please give me the legal name of the person or persons intending to sign the lease.
Name(s):
Please give me the legal name of the person or persons and or legal entity (Trust, LLC, Corp) intending to execute the finalized purchase once the lease option is executed.
Phone:
ie: (XXX) XXX-XXXX
*Email:
Email Frequency:
Immediately
Once Per Week
Once Per Month
Twice Per Month
Are you currently working with another Realtor?
Yes
No
If yes, would you be willing to sign an exclusive service agreement with James Bellile?
Yes
No
When must you move in?
Immediately
Within 30 Days
Within 60 Days
Within 90 Days
Beyond 90 Days
When do you intend to purchase your property?
Less Than 1 Year After Move In
Within 1 Year of Move In
Within 2 Years of Move In
Within 3 Years of Move In
Do you have a full 5% down payment, in addition to your first months rent and security deposit, to be placed in an escrow or trust account immediately upon move in to secure your purchase with the Seller?
Yes
No
Detailed Information
1.) What type of financing do you intend to use? Please choose only one.
VA (Vetrans Only)
FHA
Conventional
Cash
Unsure/Other (please remark details in question 11)
2.) Are you currently working with a lender to restore your credit in order to insure that your purchase option is successful?
Yes
No
If No, Would you like help finding a Lender?
Yes
No
3.) What is your estimated price range?
--Select--
$75k - $100k
$100k - $125k
$125k - $150k
$150k - $175k
$175k - $200k
$200k - $225k
$225k - $250k
$250k - $275k
$275k - $300k
$300k - $350k
$350k - $400k
$450k - $500k
$500k - $550k
$550k - $600k
$600k - $700k
$700k - $800k
$800k - $900k
$900k - $1Mil
$1Mil+
4.) What is a comfortable Monthly payment?
--Select--
$1000 - $1100
$1100 - $1200
$1200 - $1300
$1300 - $1400
$1400 - $1500
$1500 - $1600
$1600 - $1700
$1700 - $1800
$1800 - $1900
$1900 - $2000
$2000 - $2100
$2100 - $2200
$2200 - $2300
$2300 - $2400
$2400 - $2500
$2500 - $2600
$2600 - $2700
$2700 - $2800
$2800 - $2900
$2900 - $3000
$3000+
5.) What type of residential property are you looking for?
Single Family Home
Townhouse
Condo
Highrise
Fourplex
Land
Please choose only your most desired type. Please comment at the end of the form if considering more than one type.
10.) What is your preferred location?
Please use the provided maps to inform me of your desired cities, MLS areas, Zip codes, and/or exact North, South East or West cross streets.
11.) Additional comments and/or concerns?
Please describe your ideal real estate detailing your wants and needs. Lastly, please address any additional information at this time as this will greatly assist me in finding exactly what you are looking for and ensure the best possible buying experience.
YOUR INPUT MATTERS GREATLY, THIS PROPERTY IS FOR YOU!