Caryn Beard's Realtor Request Form

Realtor Request Form

Enter Preferences for the Home you are Looking to Purchase/Lease
Type of property desired?	Preferred Exterior Finish	Price Range


Style of Property Desired	Configuration of Home
	# of Bedrooms		Attached Garage
Lot Preference	# of Bathrooms		# Car Garage
	Swimming Pool		Special Access
Work Related Requirements	School Related Requirements
Contingencies/Time Frame
	Need to vacate current home by?		Current Home to Sell First
Please enter any additional Requirements or Contingencies in the text box below:

Description of Property you want to sell
Number of Stories		Formal Dining Room		Formal Living Room
Family Room		Game Room		Study
Master Bedroom Down		2nd Bedroom Down		All Bedrooms Up
Swimming Pool		Over Sized Yard		Work Room Area in Garage
The following information is helpful in order to complete a market survey of your property.
Enter street address of Property:
Zip Code:

Mortgage Prequalification
Borrower's Employer:
Position:	Employment Date:	Work Phone #
Co-Borrower/Spouse's Employer:
Position:	Employment Date:	Work Phone #
Tot. Monthly Salary	Other Monthly Income	Income last year
Estimated total assets (home equity, cash, stocks, 401k, savings, etc.)
Liabilities (Include all accounts with open balances, car payments, student & bank loans, 401k loans, mortgages on rental property, child care expenses, and child support or alimony payments.)		Payment	Balance
Mortgage
Credit Cards
Auto Loans
Other Loans
Other payments
Credit Questions
Is borrower and/or co-borrower a party to a lawsuit?	Yes No
Has borrower and/or co-borrower been party to a bankruptcy in last 10 years?	Yes No
Has borrower and/or co-borrower been party to a foreclosure in last 10 years?	Yes No
First time home buyer?	Yes No
Does borrower and/or co-borrower have any open collections, judgements or tax liens?	Yes No
Has borrower and/or co-borrower sold a home on an assumption in the last 5 years?	Yes No
Are borrow and co-borrower US citizens?	Yes No
Is either borrower or co-borrower a permanent resident alien?	Yes No
Is borrower or co-borrower a veteran?	Yes No
Is either borrower or co-borrower obligated to pay child support or alimony?	Yes No
Amount of monthly child support or alimony?
Send Relocation Package? Yes No

Enter Preferences for the Home you are Looking to Purchase/Lease

Type of property desired?

Preferred Exterior Finish

Price Range

Style of Property Desired

Configuration of Home

# of Bedrooms

Attached Garage

Lot Preference

# of Bathrooms

# Car Garage

Swimming Pool

Special Access

Work Related Requirements

School Related Requirements

Contingencies/Time Frame

Need to vacate current home by?

Current Home
to Sell First

Please enter any additional Requirements or Contingencies in the text box below:

Description of Property you want to sell

Number of Stories

Formal Dining Room

Formal Living Room

Family Room

Game Room

Study

Master Bedroom Down

2nd Bedroom Down

All Bedrooms Up

Swimming Pool

Over Sized Yard

Work Room
Area in Garage

The following information is helpful in order to complete a market survey of your property.

Enter street address of Property:

Zip Code:

Mortgage Prequalification

Borrower's Employer:

Position:

Employment Date:

Work Phone #

Co-Borrower/Spouse's Employer:

Position:

Employment Date:

Work Phone #

Tot. Monthly Salary

Other Monthly Income

Income last year

Estimated total assets (home equity, cash, stocks, 401k, savings, etc.)

Liabilities (Include all accounts with open balances, car payments, student & bank loans, 401k loans, mortgages on rental property, child care expenses, and child support or alimony payments.)

Payment

Balance

Mortgage

Credit Cards

Auto Loans

Other Loans

Other payments

Credit Questions

Is borrower and/or co-borrower a party to a lawsuit?

Yes No

Has borrower and/or co-borrower been party to a bankruptcy in last 10 years?

Yes No

Has borrower and/or co-borrower been party to a foreclosure in last 10 years?

Yes No

First time home buyer?

Yes No

Does borrower and/or co-borrower have any open collections, judgements or tax liens?

Yes No

Has borrower and/or co-borrower sold a home on an assumption in the last 5 years?

Yes No

Are borrow and co-borrower US citizens?

Yes No

Is either borrower or co-borrower a permanent resident alien?

Yes No

Is borrower or co-borrower a veteran?

Yes No

Is either borrower or co-borrower obligated to pay child support or alimony?

Yes No

Amount of monthly child support or alimony?

Send Relocation Package? Yes No

Personal Information
If submitting mortgage prequalification information, enter names of borrower and co-borrower below.

Borrower Name:
Co-Borrower Name:
Address:
City:
State:
Zip Code:
E-Mail Address:
Daytime Phone Number:
Evening Phone Number:
Fax Number:
Best Time To Call:	Morning Afternoon Evening