Seller Intake Form
Once completed, you'll receive an email for a consultation.
Full Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
example@example.com
Residence Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Are you a U.S. Citizen?
Yes
No
What is your marital status?
Single
Married
Widowed
Divorced
Was a grant used to purchase, repair, or upgrade the home (First Time Homebuyer Grant, YGrene, PACE)?
Yes
No
If a grant was used, which one?
Name of Grant
Does the house have solar panels?
Yes
No
Does the house have any leased equipment?
Yes
No
If so, please list the leased equipment(s).
Do you have the Owner's Title Policy and or survey?
Yes
No
Describe any easements or property restrictions.
Was Flood Insurance a requirement?
Yes
No
Any impact doors and windows?
Yes
No
Date of Roof Replacement
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Is there a flat roof?
Yes
No
Date of AC Replacement
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Date of Water Heater Replacement
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Is the home on septic or sewer?
Septic
Sewer
If you have septic tank, when was it last serviced?
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Date of Flooring Replacement
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Type of Flooring
Date of Kitchen Remodeling
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Type of Countertops in the Home
Age of Appliances in the Home
Mortgage Balance
Homeowner's Association Fees?
Yes
No
Frequency of HOA fees?
Monthly
Quarterly
Bi-annually
Annually
What does HOA fees cover? Any community amenities?
What is your favorite color?
What is your favorite wine?
CONGRATULATIONS
You've successfully completed your intake form, please look for an email to book your consultation conveniently. Looking forward to speaking to you soon!
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