Keys with Veronica Seller Intake Form
Thank you for trusting me to assist you with the sale of your home. As your Elite Realtor, my goal is to provide you with professional guidance, honest communication, and a smooth selling experience from start to finish. By completing this form, you are helping me better understand your property, your goals, and your timeline so I can create the best strategy to market and sell your home successfully. I look forward to helping you prepare, position, and sell your home with confidence, professionalism, and care. Thank you again for the opportunity to serve you — let’s get your home SOLD with excellence! 🔑
Full Name
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First Name
Last Name
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
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example@example.com
Property Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
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The Bahamas
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Belize
Benin
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Bhutan
Bolivia
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Brazil
Brunei
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Burkina Faso
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Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
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Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Property Type
*
Please Select
Single Family
Condo
Townhouse
Multi-Family
Land
Other
Number of Bedrooms
*
Number of Bathrooms
*
Approximate Square Footage
Estimated Year Built
Current Mortgage Status
Paid Off
Ongoing Mortgage
In Foreclosure
Other
Desired Listing Timeline
Please Select
As soon as possible
Within 1 month
1-3 months
3-6 months
More than 6 months
Undecided
What is your motivation for selling?
Have you worked with another agent recently?
Yes
No
How did you hear about us?
Please Select
Referral
Online Search
Social Media
Yard Sign
Advertisement
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Additional notes or questions for your consultation
I look forward to assisting you in the sale of your home and being the trusted Elite professional you can confidently rely on throughout the entire process. My goal is to provide you with professionalism, clear communication, and a strategy designed to help your home stand out in today’s market. Let’s get your property prepared, marketed, and positioned to SELL with confidence, excellence, and a smooth experience from beginning to closing day. 🔑
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