New Customer Registration Form

Seller Strategy Intake

Please fill out this form to provide the data for your home. Once completed, there may be instances where we will follow up to gather more in-depth information to ensure accuracy and completeness of your home listing evaluation. THIS IS NOT AN AGREEMENT OR CONTRACT. THIS IS FOR INFORMATION ONLY.
If the property is owned by a corporation, enter corporation full legal name.
1st Seller’s/signer’s Full Name (As recorded on the Deed)*

First NameMiddle NameLast NameSuffix
Phone Number*
Format: (000) 000-0000.
E-mail*
example@example.com
2nd Seller’s/signer’s Full Name (As Recorded on the Deed)

First NameMiddle NameLast NameSuffix
Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
3rd Seller’s/signer’s Full Name (As Recorded on the Deed)

First NameMiddle NameLast NameSuffix
Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
How did you hear about us?*
Please Specify if Referral or Other
Name of Individual or Company
Complete Address of Home Being Sold (add any directional)*

Street Address

Street Address Line 2

CityState

Zip Code
Vacant, Cleared & EmptyVacant FurnishedOwner OccupiedTenant OccupiedOther
Virtual Staging at a Minimal Cost – Only the photos online will feature virtual furniture; the home will not have physical furnishings when the buyer views it in person.Professional Staging Company with Physical furnishing, can include the owner’s furnishing and/or additional staging furnishing for $1000+I’m not sure, I want to consult with a staging company before deciding.None
Year Built*
Parcel Number
Subdivision
Lot Number
Dwelling Type (e.g., Single Family, Townhouse, Condo)*
Style (e.g., Traditional, Contemporary)
Approx. Square Footage (Living Area)*
Approx. Lot Size:
Acreages:*
Builder:
OneTwoThreeSplitOther
One carTwo carThree carNoneOther
Number of Bedrooms
Number of Bathrooms, including Half Baths
NonePartial BasementFull BasementWalkout BasementExterior EntranceFinished BasementUnfinished BasementPartially Finished BasementBoat DoorOther
CrawlspaceSlabOther
Central HeatingFuranceHeat PumpRadiant HeatBaseboard HeatingWood StoveOther
Natural GasElectricPropaneOilOther
Central AirWindow UnitsDuctless Mini-SplitEvaporative Cooler (Swamp Cooler)Ceiling Fans OnlyOther
Public/City WaterWellSepticOther
Natural GasPropaneNoneOther
Electric Water HeaterGas Water HeaterTanklessWater HeaterSolar Water HeaterOther
Solar PanelsEnergy-Efficient WindowSmart ThermostatOther
BrickVinylStuccoWoodStoneFiber Cement/Hardie PlankmetalAlumimumLogOther
Asphalt ShinglesMetalTileSlateWoodShake/ShinglesRubber (Membrane)CompositeFlat RoofOther
CooktopDouble OvenWasherDryerStoveRefridgeratorMicrowaveOvenRangeRange/OvenGarbage DisposalWine CoolerOther
Are there any unique features not listed related to the home (e.g., guest house, Patio, decks, Pool, views, lakes, trails, loft, vaulted ceilings, Smart Home, Double Lot, Solar Panels, shed, dog kennel, greenhouse, Corner lot, Golf course view, etc., special flooring or appliances, etc)?
Go ahead and describe your standout features of your home.
Are any latent defects, repairs needed? (Any safety, hazardous, code related repairs. You can also add your opinion of if you would recommend any cosmetic updates or renovations such as paint, new flooring, or update kitchen/bathroom - these are not necessary, but can make a diffidence.
YesNo
YesNo
If yes, payoff amount?
Mortgage Lender Name?
Mortgage Lender Contact Information?
YesNo
If yes, what is the payoff amount?
What is the lien holder information?
YesNo
If yes, what is the HOA name?
What is the association Contact?
What is the Association Fee*
Frequency of Fee?*
Monthly, Annually, Quarterly, etc.
What is the HOA initiation fee?
What is your desired list price? *
After all of your cost, what is your desired payout at closing? *
We have buyers who are always ready to buy. Are you open to receiving an offer now while your home is not listed as yet? (You don’t have to accept any offers).*
Do you need cash from your equity now? If so, I can connect you with a company that will purchase your home now at around fair market value. They will then pay you out up to 75% of the equity to include cash to you, loan payoff, etc. The rest will go in escrow until they resell the home. Once the home is closed, any remaining profits will go directly to you. This is good for if you need to move into a new home right away or have priority expenses. Please note the initial payout has an interest charge. *

Please give referral of any two people whom you feel can benefit from our services:

Rows	Full Name	Contact Number	Buying or Selling
1
2

Should be Empty:

Seller Strategy Intake