CLIENT INTAKE FORM Fill Out The Form Below To Begin Your Home Search Process Today Name * First Name Last Name Email * Phone * Preferred Method Of Contact * Phone Call, Text, Email Best Time To Reach You * Are You Pre-Approved? * Yes No Desired Timeframe: * When would you like to purchase/sell: ASAP 1-3 Months 3-6 Months 6+ Months Property Type: Check All That Apply Single Family Condo/Townhome Multi-Family Land Other Service Requested * What do you need help with: Buying A Home Selling A Home Renting A Home Investing/Wholesaler Other Desired Zip Codes: * Zip Codes Of Cities You'd Like To Live In Desired Cities You Wish To Reside? Where Would You Like To Live? Desired Price Range For Purchase/sell: What's Your Budget/Price You'd Like To Sell Your Home? Details & Specifics On What You're Looking For? * Bedrooms, Bathrooms, Sq Ft, Fenced Backyard, Bedroom On The Main, Corner Lot, etc. Are You Currently Working With Another Agent? * Yes No Not Applicable Thank you! Someone Will Be In Touch As Soon As Possible!