Seller Client Intake

Shanice Johnson, P.A. Realtor

Thank you for your consideration in choosing me to help you sell your home! As your realtor, you'll be offered top priority service, professionalism and elite guidance that will help direct you on making the best decision for your needs. By completing this form, you will provide insight on what you are looking for. Thank you again and I look forward to fulfilling your real estate needs!
Contact Information
Name*

First NameLast Name
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
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
Property Information
Property Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Property Type*

Single FamilyCondoTownhomeMulti-FamilyOther
Number of bedrooms:*
Number of bathrooms:*
Lot size:*
Garage:*
Carport:

YesNo
Select any appliances that will come with the home:*

RefrigeratorRangeMicrowaveDishwaherWasherDryerOther
Is the property:*

VacantOccupied
Any Association fees?*

YesNo
If Yes, how much?
Existing Mortgage Information

(Required)
1st Mortgage $*
Lender Name
APR %
Monthly Pymt*
Is there a 2nd Mortgage?*

YesNo
2nd Mortgage $
Lender Name
APR %
Monthly Pymt*
Does payment include PITI? (Principal, Interest, Taxes & Insurance)*

YesNo
Are monthly payments current?*

YesNo
Amount behind (if any)?
If we can agree upon a price and we accept all responsibility for future repairs would you, or the owner, consider a lease purchase?*

YesNoUndecidedOther
If the asking price and the loan balance are within $35,000 of each other would you, or the owner, sell the house for the amount you owe on it?*

YesNoUndecidedOther
If the home is paid for in full, or almost paid for, would you, or the owner, consider taking monthly payments for your equity?*

YesNoUndecidedOther
What is it that you need to have from the sale of your home?*

Need immediate payoff before losing the property.Take over payments because can't afford two house payments.No immediate concerns so I would be OK with accepting pre-determined payments for a specified length of time.Other
Asking Price*
Owner's Estimated Value*
How did you arrive at your asking price?*

Amount left on mortgageReal Estate Agent recommendedComparable home salesEqual to amount of equityOther
If Other, please explain:
Reason for selling?
Are any repairs needed?*

YesNo
If Yes, please explain:
If you currently reside in the residence, when would you want to move?
Is the property CURRENTLY listed with any realtor/agent?*

YesNo
If Yes, then how long has the property been listed?
Type of construction:*
If Other, please explain:
Please add any additional comments you feel are important about the property that were not covered above:
Your Make it Happen Agent

Thank you for contacting Shanice Johnson, P.A. Realtor. I look forward to assisting you in selling your property. I ask that you allow me to be the professional that I am in servicing you in order to get your property prepped, on the market

Shanice Johnson, P.A. Realtor

Contact Information

Property Information

Existing Mortgage Information

Your Make it Happen Agent