Seller Intake Form

Roshemia Peterson, P.A. | Realtor

Thank you for considering me to assist with the sale of your home. This form helps me understand your property, your goals, and your timeline so I can create a strategic plan to sell your home for top value with the least amount of stress.
Full Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Best time to call
Property Information

Street Address

Address Line 2 (Apt, Unit, etc. - if applicable)

CityState / Province

Postal / Zip CodeCountry
Property Type

Other
Number of Bedrooms
Number of Bathrooms
Approximate square footage?
Year Built
Garage:
If yes, how many cars?
Car Port:
What is the current condition of the home?
How long have you owned this property?
Which appliances will be included in the sale? (check all that apply)
If other is chosen, name the appliances that will come with the home
What repairs or maintenance is needed at the moment?
Is the property currently occupied?
Are there any Association fees?
If Yes, how much?
How long has this property been on the market?
Is the property currently listed with another real estate agent?
If No, has the house been previously listed?
If Yes, when does the listing expire?
Your Situation
How soon are you looking to sell?
What's your reason for selling?
Are you looking to purchase another property once you sell?
If yes, will your purchase be contingent on the sell of this property?
Financials & Pricing
What price range are you hoping to sell your home for?
If you needed to sell quickly, what is the lowest price you would consider?
How did you determine your home's value?
Do you currently have a mortgage balance on the property?
What is your biggest concern about selling your home right now? (pricing, timing, repairs, moving, etc.)
Existing Mortgage Information
First Mortgage Balance
Lender Name
Do you have a second mortgage?
Second Mortgage Lender (if applicable)
Estimated Monthly Mortgage Payment (if known)
Are monthly payments current?
Amount behind (if any?)
Did you use any down payment or grant programs when purchasing this home?
If Yes, Please explain ( What City and Restrictions)
Is your property currently listed with a real estate agent?
If yes, when does your agreement expire?
Is there anything else I should know about your property, timeline or situation?
Are you open to receiving a free home value estimate?
How did you hear about me?
Referral Source/Name
Preferred method of contact
Thank you for submitting your information. I will personally review your details and reach out with a customized strategy to help you sell your home for top value and with minimal stress.
Should be Empty:

Roshemia Peterson, P.A. | Realtor

Your Situation

Financials & Pricing

Existing Mortgage Information