Sellers Intake Form

Sellers Intake Form
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
CallTextEmail
Best Time to Call You*

SellerBuyerInvestor

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is the property currently:
Type of Property:
Estimated Value (if known)
Mortgage Balance (if known)
Reason for Selling:
Desired Timeline to Sell:
Repairs neededPre-foreclosureProbate / InheritedDivorceNone

Are you a:*
Have you been pre-approved?*
Price Range:*
Desired Areas / Cities:*
Property Type:*
How many bedrooms?*
How many bathrooms?*
Desire date to move?*
Timeline to Purchase:
Appointment for buyers consultation:*

Company Name:*
Include any listing numbers or properties of interest here:*
If you are an outer-town investor do you plan on visiting?

MonthDayYear
Date
If so, how long are you planning to stay?
YesNo
Investor Type:*
Raw LandLot in a DevelopmentCondos/ TownhouseSingle Family HomeMobile Home
Target Areas:*
Budget Range:*
Preferred Property Condition:*
Funding Type:*
How soon are you looking to acquire?*

Additional Notes / Questions
I consent to be contacted by Deedee Henry regarding real estate services.I understand this is not a contract or obligation.
Please verify that you are human*
Should be Empty: