Sellers Intake Form
Our goal is to ensure you receive the MOST money for your home in the SHORTEST amount of time! Please complete the sections below. We look forward to providing you with ELITE service.
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Best Time to Call
Please Select
Morning (9:00am)
Noon (12noon)
Afternoon (3:00pm)
Evening (7:00pm)
Email
*
example@example.com
Appointment
Tell me about your property
Property Type
Single Family Home
Townhome
Condominium
Villa
Vacant Land
Bedrooms
Please Select
1
2
3
4 or more
Bathrooms
Please Select
1
2
3
4 or more
Square Footage
Year Built
Homeowner’s Association
Yes
No
Number of Stories
Garage
1 car attached
1 car detached
2 car attached
2 car detached
3 car attached
3 car detached
Current Home Condition
Excellent
Good
Fair
Poor
Full Renovation Required
Please identify repairs or maintenance that require immediate attention.
Estimated Repair Cost
Has the property ever been listed for sale, under your ownership?
Yes
No
Are you seeking to purchase another property?
Yes
No
If yes, is the purchase of the new property contingent upon the sale of the existing property?
Yes
No
What do you think your home is worth?
How did you determine the value of your home?
What amount would you like to NET upon the sell of your home?
Tell me about your mortgage (if applicable)
1st Mortgage Balance
2nd Mortgage Balance
Interest Rate
Monthly Payment
Is the mortgage payment current?
Yes
No
If No, please provide the number of months delinquent.
Did you use grant funds to purchase the home?
Yes
No
If yes, please provide the grant funding agency and any resale restrictions.
Please share any additional information that you feel is imperative to the sale of your home.
Submit
Should be Empty: