REAL ESTATE INTAKE FORM
PROPERTY ADDRESS:
COUNTY
PIN#
-
-
-
-
Vol.
Sale Price $
(SFD / Multi-Unit /Condo/Twnhse/Commercial/ Other)
Client: Seller/Buyer:
Marital Status:
Address:
SSN: ___-__-____
Phones: (H)
+1 (
)
and (Pg/Cell)
+1 (
)
(W)
+1 (
)
and (Fax)
+1 (
)
E-mail:
Contract Acceptance Date:
Costs Paid by Seller: $
Purchase Price: $
Costs Paid by Buyer: $
Earnest Money: $
(Held By: _________________________________ )
K Finance Contingency Date:
(
Days after contract signing)
Finance Commitment Date:
(
Days after contract signing)
Inspection Contingency Date:
(
Days after contract signing)
Closing Date:
Time:
Location:
Phone #: +1 (
)
Fax#: +1 (
)
Final Closing Figure $
Buyer/Seller:
Address:
Buyer/Seller Attorney:
Contact Person:
Address:
Phone#:
Fax #:
E-Mail:
Realtors:
SELLER’S Agent:
BUYER’S Agent:
Name:
Name:
Company:
Company:
Address:
Address:
Phone #’s: + 1 ( )
Phone #’s: + 1 ( )
Fax #’s: +1 ( )
Fax #’s: +1 ( )
Pager #’s: + 1 ( )
Pager #’s: + 1 ( )
Cell/Other:+1 ( )
Cell/Other:+1 ( )
COMMISSION: ____________________________
COMMISSION: ____________________________
Mortgage Broker/Bank:
Name:
Loan Amt: $
(FHA/VA/Conv)
Loan Officer: