Buyer Representation Form

Please provide information in the required yellow fields.

NAME: 

E-mail:        

Use this phone:      Time of time to reach me:  Day Evening Anytime

Do you need mortgage assistance? Yes No I already have a lender

What are your home buying needs, (highlight at least one)

I need a home right now I am starting to look for a home now, but have time Sometime in the next six months Next year is fine I just want to find out what I can afford I need help in all aspects of homebuying

Do you have a home to sell: Yes No
Do you currently own a home? Yes No I own a home off Staten Island I currently rent
Do you reside in Staten Island?  Staten Island I plan to move to Staten Island
What area do you wish to live in?  North Shore South Shore Central Staten Island Near to VN Bridge Near to major transporation Near to major shopping I have no preference right now I am not familar with Staten Island Schools are important to me
What areas are you interested in? (highlight at least one)

  Annadale Arden Heights Arlington Arrochar Bay Terrace Bloomfield Bulls Head Butler Manor Castleton Corners Charleston Chelsea Clifton Concord Dongan Hills Dongan Hills Colony Egbertville Elm Park Eltingville Emerson Hill Fox Hills Graniteville Grant City Grasmere Great Kills Greenridge Grymes Hill Heartland Village Howland Hook Huguenot Lighthouse Hill Livingston Mariners Harbor Midland Beach Mount Loretto New Brighton New Dorp New Dorp Beach New Springville Oakwood Oakwood Heights Oakwood Beach Old Town Park Hill Pleasant Plains Port Richmond Princes Bay Randall Manor Richmond Valley Richmondtown Rosebank Rossville St. George Shore Acres South Beach Stapleton Sunnyside Todt Hill Tottenville Travis West Brighton Westerleigh Willowbrook Woodrow Off Staten Island (Brooklyn)

Would you like to set up a private meeting to discuss your specific real estate needs?  Yes No
Our offices are open till 8:30 M-F & 5:00 Sat - Sun.

If you have questions or other requirements, please use the message box below.