Contract Intake Form
Please only fill out the fields that apply to your transaction, thank you!
Your Name
*
First Name
Last Name
Your Email
*
example@example.com
What type of Contract to Close Service would you like?
*
Epique - Compliance Only
Epique Brokerage Transaction Services
Contract to Close Elite Level
Please let me know if you are on a team, have an team admin or anyone else who should include in this transaction
Transaction Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Transaction Side
Please Select
Seller
Buyer
Dual
Purchase Price
Effective Date
-
Month
-
Day
Year
Date
Due Diligence End Date
-
Month
-
Day
Year
Date
Do you need your TC to help schedule the Home Inspection (Core and Concierge only)
Yes
No
Is there a specific date/time that works best for your schedule? Do you have a preferred Home Inspector?
Finance Period End Date
-
Month
-
Day
Year
Date
Closing Date
-
Month
-
Day
Year
Date
Buyer #1 Name
First Name
Last Name
Buyer #1 Phone
Please enter a valid phone number.
Buyer #1 Email
example@example.com
Buyer #2 Name
First Name
Last Name
Buyer #2 Phone
Please enter a valid phone number.
Buyer #2 Email
example@example.com
Seller #1
First Name
Last Name
Seller #1 Phone
Please enter a valid phone number.
Seller #1
example@example.com
Seller #2
First Name
Last Name
Seller #2 Phone
Please enter a valid phone number.
Seller #2
example@example.com
Attorney/Title Company Name
Attorney/Title Company Email
example@example.com
Lender Name
Lender Email
example@example.com
Where can I find the documents?
I emailed them to you
Attached to this form
In my Brokerage's Compliance Software (aka Skyslope)
Is there anything I should be aware of? (Client's preferred communication, divorce, POA, LLC, referral, etc.)
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