Buyer Information - Strictly confidential

You are welcome to call me on the phone to discuss the Lease Option concept on (09) 630 9199, however we would prefer you to fill in the information below first so we can get a better understanding of your situation.

We'll review your information and call you once we have evaluated your situation. All information
provided will be kept strictly confidential. Please fill the questionnaire with as much information you
have readily available.

From time to time, we may have information about available property and services and related
matters. Under the new Unsolicited Electronic Messages Act which takes effect from 5th
September 2007, we need your consent to do so and by submitting your information you agree
to allow us to send you listings of available properties, services and related matters. Each
email sent to you will have an unsubscribelink to it to inform us that you no longer wish to
receive emails from us.
Please fill in all fields. Those marked with * are mandatory.
*
Surname
*
First name
*
Email
Day phone
*
*
Evening LANDLINE phone
Land line only please
*
Cell phone
What is your
current address
*
Have you applied for a mortgage before
If you were turned down
Please give the reason
*
What is your YEARLY
income before tax
Are you self employed or on a wage
Are you married or living with a
partner for more than 3 years
If YES is your spouse or partner working
What is their YEARLY income before tax
*
What is the maximum you could
put down for a deposit
How much do you think you
could afford to pay per week
What sort of House price are you looking at
Which suburbs do you want to live
How do you consider your credit record
How soon do you need to move
Why are you wanting to buy
Are you renting or do you own a house
If renting How much is your rent
How did you hear about us
Any questions or special requirements