BUYER INTAKE FORM

    How were you referred to us?
    Address of the Property you are Buying
    When is the Closing/Possession/Move in Date?
    CONTACT INFORMATION FOR ALL PARTIES PURCHASING THE PROPERTY
    First Individual
    Your Full Name *
    Your Email *
    Phone Number
    Occupation
    Name of your Employer
    Current Address
    Marital Status *

    Second Individual
    Your Full Name
    Your Email
    Phone Number
    Occupation
    Name of your Employer
    Current Address
    Marital Status *
    Are there any other individuals on the property title? If yes, who?

    YOUR REALTOR
    Do you have a Realtor?YesNo
    Your Realtor Name
    Realtor Company
    Realtor Phone No
    Realtor Email

    PAYING FOR THE PROPERTY
    How are you paying for the property? *All CashCash & Mortgage
    Are you using the proceeds of the sale of a property to pay for your new property? *YesNo
    Are you dealing with a Mortgage Broker or directly with a Branch? * Mortgage BrokerDirectly with Bank/Lender/Branch
    Mortgage Broker Company Name (if any) eg. Dominion Lending
    Name of the Mortgage Lender eg. CIBC, First National
    Mortgage Representative Name
    Mortgage Representative Phone No.
    Mortgage Representative Email

    OTHER INFO
    Will you be in Edmonton or area Prior to the Closing * YesNo
    If you will not be in Edmonton, please provide details
    Will you or a relative be living in the Property? *YesNo
    Are there Tenants currently in the Property? *YesNo
    Are you buying a new home from a builder? * YesNo
    Are you buying a condo? *YesNo
    Was the property built before February 1, 2014? * YesNo
    Do you have any indication that the Seller is not a resident of Canada?
    Is there any other information you think we should know?