Real Estate Services Disclosure  ·  This form is provided by Dariceli Kunhardt, Licensed Real Estate Sales Associate — Florida License SL3606405 — licensed under EXP Realty. D & Company, LLC is a construction firm, not a real estate brokerage. Submission of this form does not constitute a Buyer Representation Agreement or create a brokerage relationship.  Read full disclosure ↓
Buyer Intake Form

Let's Find the Right
Home for You

Complete this form and our team will review your information, identify the best programs available to you, and contact you to go over your options.

🔒 Confidential ⏱ ~5 Minutes 📋 6 Sections 🏠 South & Central Florida
Step 1 of 6 Contact Info

Contact Information

How should we reach you?

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Please enter a valid email.
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City and ZIP is enough — helps us identify local programs.

Current Housing Situation

Tell us where you are today so we can plan your path forward.

Please make a selection.
D&Co can also assist with the sale of your current home.

Property Preferences

Tell us about the home you're looking for.

Please select at least one county.
Please select a timeline.
D&Co is a licensed GC and interior decorator — we can manage your renovation end-to-end.

Property Details & Primary Use

How will you use this property?

Please select the primary use.

Financial Profile

This information is confidential and used only to identify the programs available to you.

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Please select your credit range.
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Used to check Hometown Heroes eligibility.

Final Qualifying Questions

These answers directly affect which programs you may qualify for.

🔒 Confidentiality Notice All information provided is used solely for the purpose of identifying housing assistance programs. It is not shared with third parties without your consent.
Please select your status.
Please select your status.
Please select your status.

⚖️ Real Estate Services Disclosure — Florida Law

Licensed Agent: This form is administered by Dariceli Kunhardt, Florida Licensed Real Estate Sales Associate, License No. SL3606405, licensed under EXP Realty as the supervising brokerage of record. D & Company, LLC (CGC1531095) is a Florida-licensed construction and interior design firm — it is not a real estate brokerage and does not conduct real estate transactions. All real estate services are performed solely by Dariceli Kunhardt in her individual capacity as a Sales Associate under EXP Realty. This form is hosted on the D & Company website as a courtesy and is used solely for real estate purposes — to assist in identifying your property needs, financial readiness, and applicable homebuyer assistance programs.

No Brokerage Relationship Created (F.S. 475.278): Completing and submitting this form does not create a buyer representation agreement, single agency relationship, or any brokerage relationship. A formal Brokerage Relationship Disclosure and Buyer Representation Agreement will be presented separately by Dariceli Kunhardt, under EXP Realty, before any property is shown or any representation begins.

Program Pre-Screening — Not Mortgage Advice: The program recommendations provided by this tool are based solely on the information you provide and are for general informational purposes only. Dariceli Kunhardt is a licensed real estate agent, not a Mortgage Loan Originator (MLO). Nothing in this form constitutes mortgage advice, loan pre-approval, or a commitment to lend. Final program eligibility is determined exclusively by a licensed lender through verified documentation. All programs are subject to availability, income limits, purchase price caps, and funding.

Fair Housing (F.S. 760 / Federal Fair Housing Act): D & Company, LLC is committed to Equal Housing Opportunity. We do not discriminate based on race, color, religion, sex, national origin, disability, familial status, or any other protected class. All questions on this form are asked for lawful real estate and program eligibility purposes only.

Data Privacy: The information you provide is confidential and used solely to facilitate real estate services on your behalf. It will not be sold or shared with third parties except as necessary to identify programs or connect you with approved lenders — and only with your consent. We do not collect Social Security numbers, account numbers, or passwords through this form.

🏠 Equal Housing Opportunity  ·  Dariceli Kunhardt, SL3606405  ·  D & Company, LLC  ·  CGC1531095

We Have Everything We Need

Thank you for completing the intake form. Our team will personally review your information and reach out within 1–2 business days to discuss your options and next steps — no automated responses, just a real conversation.