Name
First (required)
Last (required)
Email (required)
Cell Phone (required)
Current Home Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Company/Business Name
Job Title
Who are the decision makers in this purchase?
First
Last
Email
Cell Phone
Are there any additional sellers/decision makers?
Which agent have you been in contact with from our team? Anzhalika LeonenkaMia Takami
Are you interviewing other brokers for this job? YesNo
If yes, when are you scheduling your meetings?
Have you considering selling by yourself (for sale by owner)?
What are your reasons for selling?
When do you want to move, ideally?
How long have you owned your home?
If we found a buyer today, are you prepared and able to make the decision to sell? YesNo
What are your plans after you sell?
What will you do if you cannot sell the property?
What is the price range you are expecting for your home?
How much do you owe on the property?
Are you current on your mortgage payments? YesNo
Are there any special assessments or encumbrances on the property? YesNo
If yes, please explain.
How did you hear about us? Please check all that apply. Referred by friendOpen HousePrint AdDirect MailBlogWebsiteOnline SearchFacebookTwitterOther
Please let us know some details of how you found us (things like the specific person who referred you or the mailer/ad you saw).
Please describe your home (bedrooms, bathrooms, features, amenities).
Approximately how many square feet is your property (please note unpermitted or "bonus" space, if any):
What was it about your home that originally sold you on it?
What condition would you say your home is in? ExcellentGoodFairPoor
What upgrades have you done to the property since you purchased it?
What do you like most about your neighborhood/community?
Is there anything else you’d like to share?
I have read and agree to the Terms and Conditions
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