New Listing Intake Form
Thank you for providing the following information.
What is your name?
*
What is your email address?
*
*REQUIRED SO WE CAN SEND EMAIL CONFIRMATION OF YOUR SUBMISSION*
Who is your TC?
*
Please Select
Abby Larson
Alex Merejo
Allie Morigeau
Alison Gorthy
Amanda Newman
Andy Kersey
Angie Toro
Ashleigh McLean
Baylee Miles
Bobby Jo DeLeon
Carla Castillo
Carolina Lombardi
Cheryl LoCascio
Chrystal Navarro
Erinn Robinson
Eva Emerling
Jamie Nixon
Jamie Sweetser
Jennifer Smith
JoAnn Touchette
Judyann Aragon
Kandace Fischer
Karma Allen
Laura Hallam
Laura Smith
Linmarie Casey
Lori Davis
Nicole Costello
Noemi Reyes
Rachael Bridgham
Radwa Moussa-Youssef
Raelle Ayres
Sabrina Gaviria
Sage Liberski
Shelly Brooks
Stacey Clark
Stacey LaRosa
Yulia Aguilar
Property Information
*
Street Address
Street Address Line 2
City
State
Zip Code
Do you have a signed listing agreement? (Please upload below)
Yes
No
Listing Price?
*
If unknown at this time, please put TBD
Listing Side Commission
Buying Side Commission
Is there a Referral?
Yes
No
Referral
Referral Amount/Percentage
Live Date
*
-
Month
-
Day
Year
Date
Property Type
*
Please Select
Residential
Condominium
Vacant Land
Manufactured Home
Multi Unit
Other
Would you like Showing Time Set Up?
Yes
No
Would you like us to order Prelim Title?
Yes
No
Will there be an Open House?
Yes
No
Would you like us to order your sign?
Yes
No
Is there an HOA?
Yes
No
Was the home built in 1978 or prior?
Yes
No
Is there a Well?
Yes
No
Is there a Septic?
Yes
No
Is there Leased Property?
Yes
No
Is the Seller a foreign person for purposes of US Income Taxation? (FIRPTA)
Is
Is Not
Is the Property Owner Occupied?
Yes
No
Details on Occupant
Is there a Trust or Power of Attorney?
Yes
No
Name of Attorney | Trustee
Seller's Name(s) & Contact Info.
NOTE: We use this info to provide updates to your clients. In addition, we will forward this info to the Closing Agent.
Lead Source
Example: Past Client, Referral, Sphere, Internet, etc
Seller (1)
*
First Name
Last Name
Seller (1) Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Seller (1) Email
*
Seller (2)
First Name
Last Name
Seller (2) Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Seller (2) Email
Home Owners Association
Contact person
HOA Contact Name
First Name
Last Name
HOA Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
HOA Contact Email
Inspection Company
Inspector Contact Name
First Name
Last Name
Inspector Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Inspector Email
Title Company
Title Contact Name
First Name
Last Name
Title Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Title Contact Email
Sign Company
Sign Company Name
Sign Company First Name
Last Name
Sign Company Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Sign Company Email
Home Warranty Company
Home Warranty Contact Name
First Name
Last Name
Home Warranty Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Home Warranty Contact Email
Staging Company
Stagers Contact Name
First Name
Last Name
Stagers Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Stagers Contact Email
Open House
Time and date for the Open House
Open House Start Date and Time
/
Month
/
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Open House End Date and Time
/
Month
/
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Date of Well Inspection
-
Month
-
Day
Year
Date
Date of Septic Inspection
-
Month
-
Day
Year
Date
Notes on Well Inspection
Notes on Septic Inspection
Leased Property
Have any additional Instructions or details for your listing?
(i.e. Showing Times, Special request from the seller, Preferred contact methods)
Upload any documents here
Browse Files
Drag and drop files here
Choose a file
(Listing Agreement, Listing Input Sheet, Inspection Reports etc.)
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of
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