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Intake form
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Name
*
Email address
*
What is the address of the property you wish to sell?
What is the condition of your house?
Select
Excellent
Good
Fair
Poor
What is your reason for selling?
Please select at least one option.
Relocation
Financial difficulties
Inherited property
Divorce
Downsizing
When are you looking to sell your house?
Select
Immediately
Within a month
Within 3 months
Not sure
What is the estimated value of your house?
Is there a mortgage on the property?
Select
Yes
No
Are there any tenants currently living in the property?
Select
Yes
No
What type of property is it?
Select
Single Family Home
Multi-Family Home
Condo
Townhouse
Vacant Land
How did you hear about us?
Please select at least one option.
Social Media
Referral
Search Engine
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Additional questions or comments
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