Sellers Intake Form
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Name
*
First Name
Last Name
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Name
*
First Name
Last Name
Email
*
example@example.com
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Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Phone Number
*
Please enter a valid phone number.
Phone Number
*
Please enter a valid phone number.
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How long have you owned your current home?
*
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How soon are you looking to move?
*
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Your reason for moving?
*
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What area of town are you looking to move to?
*
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Home Criteria: How many bedrooms
*
Please Select
1-2
2-3
4+
How many bathrooms
*
Please Select
1-2
2-3
4+
Sq. ft
Name Amenities
HOA or Non-HOA Community
*
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Appointment
Please verify that you are human
*
Submit
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