Buyer Intake Form — Pannasch Realtor

Clayton Pannasch, Broker-Associate
862-354-1822 · cpannasch@gmail.com

01 — Contact Information

Full Name *

Email Address *

Phone Number *

Preferred Contact Method

Call Text Email Any

02 — Current Situation

Are you currently renting or owning?

Currently Renting Currently Own a Home Living with Family Other

If you currently own — do you need to sell before buying?

Yes — must sell first No — can buy independently Not sure yet N/A — not an owner

03 — Buying Capacity

★ Non-negotiable — this section must be completed before scheduling showings.

Are you pre-approved for a mortgage? *

Yes — fully pre-approved In process now Not yet started Cash buyer — no financing needed

Pre-Approval Amount (if applicable)

Lender / Mortgage Broker Name

Purchase Price Range — Minimum

Purchase Price Range — Maximum *

Down Payment Range

04 — Property Criteria

★ Non-negotiable — defining clear criteria prevents wasted showings for both of us.

Property Types of Interest (select all that apply)

Target Areas / Municipalities *towns, counties, or regions

Minimum Bedrooms

Minimum Bathrooms

Minimum Square Footage

Garage / Parking

Must-Have Features (non-negotiable requirements)

Deal-Breakers (absolute non-starters)

05 — Timeline & Urgency

When are you looking to be in your new property? *

ASAP — within 30 days 1–3 months 3–6 months 6–12 months Just exploring options

How would you describe your urgency level?

Flexible — no rush Moderate — actively looking Urgent — need to move quickly

06 — Motivation & Background

What is prompting your search right now?

Have you worked with a real estate agent before?

Yes No — first time

Are you currently working with any other agents?

No — you are my only agent Yes — I am working with others

07 — Anything Else?

Additional notes, questions, or details you'd like me to know

How did you hear about us?

Thank you! I'll be in touch within one business day to schedule our buyer consultation.
— Clayton Pannasch, Pannasch Realtor with Fairclough Realtors

Your information is confidential and will only be used to assist with your real estate search.