Seller Intake Form
Homeowner Information
This questionnaire is designed to gather essential information from homeowners who may be motivated to sell their property. This data will help usassess the property and understand the homeowner’s needs to provide a suitable solution.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Preferred Method of Contact
*
Please Select
Phone
Email
Text
Property Information
Address of Subject Property
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Type of Property
*
Please Select
Single-Family Home
Multi-Family Home
Condominium
Townhouse
Vacant Land
Number of Bedrooms
Number of Bathrooms
*
Year Built
*
Current Condition of the Property
*
Please Select
Excellent
Good
Fair
Poor
Does the Property Need Repairs
Please Select
Yes
No
If so, what repairs are needed. Be as specific as possible
*
Square Footage (approx.)
*
Are there any major issues (e.g., foundation, roof, plumbing, HVAC)?
Please Select
Yes
No
Ownership and Financial Details
Are you the sole owner of the property?
*
Yes
No
If no, list other owners below
List other owners if applicable
Is the property owned by a business?
*
Please Select
Yes
No
Do you currently live in the property?
*
Please Select
Yes
No
Is the property currently rented?
*
Please Select
Yes
No
Do you have an existing mortgage on the property?
*
Please Select
Yes
No
If yes, amount owed:$
*
Are there any liens or back taxes on the property?
Please Select
Yes
No
If yes, amount owed: $
*
Is the property in preforeclosure or foreclosure?
Please Select
Yes
No
Motivation to Sell
What is your main reason for selling?
*
Please Select
Relocation
Financial hardship
Inherited property
Divorce
Avoiding foreclosure
How quickly do you need to sell the property?
*
Please Select
Immediately (within 30 days)
Soon (30–60 days)
Flexible
What is your ideal selling price
*
Are you open to receiving a cash offer?
*
Please Select
Yes
No
Maybe
Have you worked with a real estate agent to sell this property?
*
Please Select
Yes
No
Additional Information
What is yhou biggest concern about selling your property?
*
Do you have any specific requirements or conditions for the sale?
*
How did you hear about us?
*
Please Select
Online Advertisement
Social Media
Referral
Do you consent to being contacted by Next Generation Real Estate Consultants to discuss your property
*
Please Select
Yes
No
Signature
*
Continue
Continue
Should be Empty: