Seller Information Form

Contact Information
Full Name*

First NameLast Name
Email*
example@example.com
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
Are you the:*

Agent/RealtorHome Owner
Best Time to Contact
Please select the best day(s) of the week with when to contact you:

MondayTuesdayWednesdayThursdayFridaySaturday
Please select the best time slot(s) which would be best to contact you:

8:00am - 10:00am10:00am - 12:00pm12:00pm - 2:00pm2:00pm - 4:00pm4:00pm - 6:00pm
Is the property CURRENTLY listed with any realtor/agent?*

YesNo
Property Information
Property Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Number of bedrooms:
Number of bathrooms:
Lot size:
Garage:
Is the property:

VacantOccupied
Any Association fees?

YesNo
If Yes, how much?
How soon would like to sell?
Please add any additional comments or questions you may have:
Should be Empty:

Contact Information