New Client Application

'Raymer Real Estate Services'

New Client Application

Contact Information*Required Fields
First Name*
Last Name*
Street Address*
City*
State*
Zip Code*
Home Phone*
Cell Phone*
Work Phone
Work Phone Ext
Fax
Email*

Other Information
1. Are you interested in a PRIMARY RESIDENCE or INVESTMENT PROPERTY? (Specify One)
2. What is your time frame for purchasing a home (Next 3 Months) (3 to 6 Months) (6 to 12 Months) (More than 12 Months)?
3. Are you Pre-Approved with a lender? (YES or NO)
4. Have you purchased a foreclosed home before? (YES or NO)
5. Have you owned a home any time in the last three years? (YES or NO)
6. Do you have any other comments?