Intake Screening

Client Name
Past Bankruptcies: Have you filed for bankruptcy in the last 7 years?
Agreement: If we could go under contract on a home in the next month, are you currently ready?
Term Needed (1-3 years): How long of a term do you estimate you will need to complete the term or get a loan to purchase the property?
Employment History: Do you have at least 2 years of continuous employment in the same field?
Income Fluctuations: Is your income salaried, hourly, or commission-based?
Current Living Situation: Do you currently rent or own?
Eviction Record: Have you ever been evicted, or broken a lease agreement in the past?
Landlord Reference: Do you authorize us to contact your current and previous landlords for a favorable reference?
Criminal Background: Have you ever been convicted of a felony or misdemeanor?
Background Check Consent: Are you willing to authorize a comprehensive background check, credit check, and eviction history screening for all adults (18+) in the household?
Maintenance History: Are you handy and capable of handling minor repairs and routine yard maintenance yourself?

Disclaimer

By submitting this questionnaire, you acknowledge and agree to the following:

No Guarantee of Approval or Terms. Completing this form does not guarantee approval for any owner-financing, rent-to-own, or seller-financing program offered by ADM Properties LLC (“ADM Properties”), nor does it constitute an offer, commitment, or pre-approval of any kind. All terms, pricing, and eligibility are subject to underwriting review and may change at any time.

Not Legal, Financial, or Tax Advice. Information provided by ADM Properties, its representatives, or this website is for general informational purposes only and does not constitute legal, financial, tax, or credit advice. You are encouraged to consult a licensed attorney, accountant, or financial advisor before entering into any real estate transaction.

No Fiduciary or Advisory Relationship. Submission of this form does not create an agency, fiduciary, attorney-client, or advisory relationship between you and ADM Properties. ADM Properties is acting as a principal (potential seller/landlord) in any resulting transaction, not as your representative.

Accuracy of Information. You represent that the information you provide is true, accurate, and complete to the best of your knowledge. ADM Properties may verify any information submitted, including through credit, employment, income, or public record checks, and may rely on the information provided in evaluating your eligibility.

Privacy and Use of Information. Information you submit will be used solely to evaluate your interest in and eligibility for ADM Properties’ financing programs and to communicate with you about available properties. It will not be sold to third parties. It may be shared with service providers (e.g., loan servicers, title companies, or attorneys) as reasonably necessary to process your inquiry or transaction.

Consent to Contact. By submitting this form, you consent to be contacted by ADM Properties via phone, text, and email regarding your inquiry, including by automated means. Message and data rates may apply. You may opt out at any time.

Equal Housing Opportunity. ADM Properties LLC is committed to compliance with the Federal Fair Housing Act and all applicable state and local fair housing laws. We do not discriminate on the basis of race, color, religion, sex, national origin, familial status, disability, or any other protected class.

No Attorney Review Substitute. This disclaimer is provided for general purposes and does not replace review of final transaction documents by a licensed Florida real estate attorney, which is strongly recommended before signing any purchase, lease-option, or financing agreement.