Lead Intake Form (PatLive)
Please fill out the information below as best as you can.
First Name
*
Last Name
*
Phone
*
Email
*
Property Address
*
Property City
*
Property State
*
Property Zip
*
Property Information
Property Bedrooms
Property Bathrooms
Please describe the state of the house and what repairs need to be made in your own words?
Is anyone living in the property?
How quickly are you looking to sell?
Is the house currently listed?
Is there currently a mortgage? If so, what do you owe?
Are mortgage payments current or behind?
What do you think your house will appraise for?
What is your asking price?
Is there anything else you'd like us to know about the property?
How did you hear about us?
When is the best time of day to call?
Submit