REAL ESTATE SELLER INTAKE FORM
Grateful beyond words — thank you for your trust and support
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you Married?
*
Please Select
Yes
No
If Married, is there joint ownership?
*
Please Select
Yes
No
Spouse Name
First Name
Last Name
Spouse Email
example@example.com
Spouse Address (If Different from above)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Tell Me About Your Home
Ownership / Occupancy
*
Owner-occupied
Tenant-occupied
Vacant
Do you live in the home?
*
If vacant, how long?
Have you been on the market before?
*
Please Select
Yes
No
If so when?
-
Month
-
Day
Year
Approximation
Reason for selling?
*
Specify Style of Home
*
Single Family
Townhome
Condo
Duplex
Other
Number of Bedrooms
*
Number of Bathrooms
*
Garage?
*
Please Select
Yes
No
Garage Type
*
Please Select
Attached
Detached
Sqft
*
Year Built
*
Is there a mortgage?
*
Yes
No
If yes, approximate balance:
Reason for Selling:
Ideal selling timelime:
*
ASAP
1-3 months
3-6 months
Flexible
Recent Upgrades or Repairs:
Items Included in the Sale:
Appliances
Light Fixtures
Window Treatments
Other:
Additional Notes or Concerns
Submit
Should be Empty: