Seller Listing Intake Form
About This Home
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Listing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Year Built
How many years have you lived here:
Heat:
Gas
Electric
Other
Number of units?
blanks
Age(s)
Air Conditioning
Gas
Electric
Other
Number of Units?
Age(s)
Hot Water Heater
Conventional Tank
Tankless
Hybrid
Other
Number of Units?
Age(s)
Alarm?
Installed/maintained by?
Septic?
yes
no
If yes, location?
Sprinkler System?
yes
no
Separate Meter for Sprinkler?
yes
no
Who installed / maintains sprinkler system?
Central Vacuum?
yes
no
Kitchen Appliances that REMAIN
Refrigerator
Dishwasher
Ice Maker
Built in Oven
Built in Microwave
Stove
Cooktop
Other
If you checked other, list other appliances that remain
Roof Type?
Age?
Who Installed?
Warranty that conveys?
Fireplace: How many?
Gas or Wood burning?
Date of last cleaning?
Exterior Siding?
Aluminum
Vinyl
Wood
Date of install or last painted
Pool?
yes
no
Type:
Age
Serviced by
Termite Policy?
Type option 1
Type option 2
Company
Pest Company
Insurance: Home Insured by
Fence
Wood
Metal
Chain link
None
Other
If "other", describe
Landscaping: Professionally designed/installed by
blanks
Sod Type
Maintenance Company
Any recent updates to the home?
Any special features of the home?
Neighborhood Amenities
POA/HOA mandatory fees:
Mo/Yr
Due Date
Contact
Number
Email
Submit
Should be Empty: