Customer Intake Form Buyer #1 Name * First Name Last Name Buyer #1 Phone * (###) ### #### Buyer #1 Email Address * Buyer #2 Name First Name Last Name Buyer #2 Phone (###) ### #### Buyer #2 Email Communication Preference * Voice Text Email Meeting Prefernce * Phone In Person Representation * Are you under contract with a Real Estate Agent? If Yes Please complete the next 4 lines with agents info. Yes No Name of Brokerage What is the Name of the Brokerage your Agent works for? Real Estate Agent Info If You are represented by a Real Estate Agent Please give us the agents full name and contact number. First Name Last Name Real Estate Agent Contact Number (###) ### #### Real Estate Agent Email Agency * Builder is also a Licensed MN Real Estate Professional I understand that builder is a licensed real estate professional Financing * What is your current stage of financing? I have not been pre-approved for a purchase I am pre-approved for a purchase I am a cash Buyer and can provide proof of funds letter Please send me a referral to your preferred Lender Budget * What is your new home budget range? $350-$400 $400-$450 $450-$500 $500-$550 $550-$600 $600-$650 $650-$700 $700-$750 $750-$800 $800+ Building Experience * Have you built a new home before? Yes No Location * What location are you interested in buying/building? Timing * When are you looking to start your project? Home to Sell * Do you own home you need to sell? Yes No If yes are you interested in learning how we could save you money by having us list and sell? Message * Please share any other details or messages you would like us to know. How Did you Hear About Us? * Google News Paper Model Home Past Client Referral Facebook Tik Tok YouTube Semlerhomes.com Friend or Family Referal Zillow Realtor.com Homes.com Other Thank you!