Buyer’s Information Form

Date:

Property Address:

Have there been tenants living in the property within the past 12 months?  Yes No


Selling Agent

First Name*: Last Name:*

Agency*:

Email:


Buyer (1)

First Name*: Last Name:*

Last 4 Soc. Security # or Tax ID:

Current Mailing Address:

City/State/ZIP:

Phone*: Email*:


Buyer (2)

First Name: Last Name:

Last 4 Soc. Security # or Tax ID:

Current Mailing Address:

City/State/ZIP:

Phone*: Email*:


Marital Status:

Title to be held as: (See Vesting Information on our website)

Is Buyer a First Time Home Buyer?  Yes No
Owner Occupied:  Yes No Investment Property:  Yes No

Is the Buyer using any special down payment or closing cost assistance programs?  Yes No If Yes, please state which one:

Is the Buyer applying for DC Tax Abatement?  Yes No


1st Mortgage Broker or Lender Name:

Phone: Email*:

Loan Officer Name: :

Phone: Email:


2nd Mortgage Broker or Lender Name:

Phone: Email:

Loan Officer Name: :

Phone: Email:


3rd Mortgage Broker or Lender Name:

Phone: Email:

Loan Officer Name: :

Phone: Email: