Seller Intake Form
Cesar Bacares / Marzucco International Real Estate – Please complete this form to help us market and sell your property effectively.
Seller Name
*
First Name
Middle Name
Last Name
Seller Name
First Name
Middle Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
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
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
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
Water Heater Age (years)
Utility / Sewer Sources
Well
City Sewer
Does the property have a pool?
Yes
No
Recent Upgrades
Roof
HVAC
Plumbing
Electrical
Kitchen
Bathroom
Windows/Doors
Flooring
Paint
Landscaping
Other
Known Defects or Condition Issues
HOA / CDD
Does the property have an HOA?
Yes
No
What is the HOA fee?
HOA fee frequency
Please Select
Monthly
Quarterly
Annually
Does the property have a CDD?
Yes
No
What is the CDD cost?
CDD cost frequency
Please Select
Annually
Monthly
Quarterly
Semi-Annually
Other
Solar Panels
Does the property have solar panels?
Yes
No
What is the solar panel status?
Paid Off
Financed
Leased
Current payment, balance, or lease details
Solar company or provider
Upgrade details / specifications
Insurance Claims in the Last 5 Years
Appliances Included
Refrigerator
Range/Oven
Dishwasher
Microwave
Washer
Dryer
Garbage Disposal
Wine Cooler
Other
Any items included in the sale
Items to be excluded from the sale
Reason for Selling
*
Please Select
Downsizing
Relocating
Upgrading
Job Transfer
Financial Reasons
Investment Sale
Estate Sale
Divorce
Retirement
Other
Where are you moving?
Urgency Level
*
Immediately
Within 30 Days
Within 60 Days
Within 90 Days
Flexible
Desired Listing Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Ideal Closing Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Has the property been appraised within the past 12 months?
Yes
No
Appraisal Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Appraised Value
Have you received previous offers?
Yes
No
Details of previous offers
Must sell by date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Will you need to buy before or after closing?
Buy before closing
Buy after closing
Not applicable
Unsure
What do you love the most about the home?
Neighborhood highlights or selling points
Anything that could delay closing
Probate
Divorce
Title issues
Repair/permit issues
Other
If Other, please explain
Any additional notes
Preferred List Price
*
Lowest Acceptable Net
Showing availability
*
Weekdays
Weekends
Mornings
Afternoons
Evenings
By appointment only
Are pets present during showings?
*
Yes
No
Sometimes
Unknown
Alarm system information
Special showing instructions
Required Documents Upload
Deed
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Mortgage Statement
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Survey or Plat Map
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Insurance Documents
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HOA Documents
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of
Utility and Assessment Statements
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Permits
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of
Warranties
Upload a File
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of
Lease Agreements
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of
Repair Receipts
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Authorization & Next Steps
By signing below, I authorize Cesar Bacares / Marzucco International Real Estate to begin listing preparation and confirm that the information provided in this questionnaire is accurate. What happens next: we review the questionnaire and prepare a CMA; schedule a listing consultation for pricing and marketing; coordinate professional photography, staging recommendations, and pre-listing prep; then finalize the listing agreement and go live on your timeline.
Seller Signature
*
Second Seller / Co-Seller Signature (if applicable)
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Seller Intake
Submit Seller Intake
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