Jalisza's Customer Inquiry

Jalisza Proctor

Licensed GA Real Estate Professional
PLEASE LET ME KNOW YOUR NAME (no spam)*

First NameLast Name
DESCRIBE YOUR CURRENT SITUATION:*
BEST PHONE NUMBER TO CONTACT YOU*
Please enter a valid phone number.
YOUR EMAIL ADDRESS:*
example@example.com
ADDRESS OF THE PROPERTY BEING LISTED:*

Street Address

Street Address Line 2

CityState

Zip Code
WHAT ARE YOU SHOPPING FOR?
WHAT ARE YOU IN THE MARKET TO BUY?
ALREADY PRE-APPROVED?*
ADDRESS OF THE PROPERTY BEING SOLD*

Street Address

Street Address Line 2

CityState

Zip Code
DO YOU WANT A MORTGAGE LENDER TO CONTACT YOU?*
HOW SOON DO YOU WANT YOUR PROPERTY LISTED & ON THE MARKET?*
TIMEFRAME TO PURCHASE*
PLEASE EXPLAIN THE REASON FOR YOUR INQUIRY*
BEST TIME TO CONTACT YOU:*
PREFERRED METHOD OF CONTACT:*

Phone callEmailText
WHERE DO YOU CURRENTLY LIVE? (i.e City, State, Neighborhood)*
WHERE IS YOUR PREFERRED AREA? (i.e City, Neighborhood)*
MINIMUM # OF BEDROOMS:*
# OF BATHROOMS:*
DESIRED MOVE-IN DATE:*

MonthDayYear
Date
LEASE TERM:*

6 months1 yearMonth-to-monthMulti-year (Commercial)
MONTHLY LEASE BUDGET AMOUNT ($):*
DO YOU HAVE PETS?*

YesNo
HOW MANY PETS?
WHAT TYPE OF PETS DO YOU OWN ?

DogCatReptilesOther
BREED or SPECIES?
HANDICAP ACCESS REQUIRED?*

YesNo
DO YOU PLAN ON PURCHASING A HOME IN THE FUTURE?

YesNoUnsure
ARE YOU PREPARED TO SIGN AN EXCLUSIVE RENTAL AGREEMENT?*

YesNoI'd like to speak with you first, before making a decision.
ARE THERE ANY SPECIFIC RENTALS YOU WOULD LIKE TO SEE OR LEARN MORE ABOUT?

YesNo
Please tell me know which rental listings you are interested learning more about or if there is any additional useful information you would like to share prior to me following up with you.
SHARE ANY ADDITIONAL RELEVANT INFORMATION
Should be Empty:

Jalisza Proctor