Buy – AJK Luxury Realty

Buyer Information Form

Prospective Buyer Information

First Name

Middle Name

Last Name

Phone Number

SSN (Last Four)

Email

Current Address

City

State

Zip Code

Rental History (Past 3 Years)

Prospective Co-Buyer Information

First Name

Middle Name

Last Name

Phone Number

SSN (Last Four)

Email

Current Address

City

State

Zip Code

Rental History (Past 3 Years)

Reccomendations

Bedrooms

Price Range

Bathrooms

Area Of Interest

Availability for Showings

Days

From

Until

Are you looking to finance your purchase?

Have you been pre-approved for a loan?

Loan Officer Name

Loan Officer Phone Number

Would you like to be referred to a Loan Officer?

I hereby affirm that the information provided is accurate and complete to the best of my knowledge. I grant AJK LUXURY REALTY permission to assist me with real estate services.

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