Full Name
First Name
Last Name
Primary Phone
Secondary Phone
Email Address
Current Residential Address
Street Address
City
State/Province
Postal/Zip Code
Emergency Contact Name
Emergency Contact Phone
Preferred Method of Contact
Are you looking to
Buy
Sell
Both
Invest/Rent
What is your primary motivation for moving? (e.g., job relocation, upsizing, downsizing)
What is your desired timeline?
Immediate (Under 30 days)
1–3 months
3–6 months
6+ months
Preferred Locations/Neighborhoods
Property Type
Single Family
Condo/Townhouse
Multi-family
Land
Minimum Bedrooms
Minimum Bathrooms
Must-Have Features: (e.g., garage, pool, home office, yard size)
Deal Breakers
Address of Property to be Sold
Street Address
City
State/Province
Postal/Zip Code
Is the property currently
Owner-occupied
Tenanted
Vacant
Estimated Year Built
Approximate Square Footage
Key Upgrades/Recent Repairs
Are there any known liens or encumbrances?
Price Range/Budget
From
To
Financing Status
Pre-approved (Letter attached)
Not yet started
Cash Buyer
Down Payment Amount
Do you need to sell a property before you can buy?
Are you currently working with another Real Estate Agent?
Have you already selected a lender?
If yes, provide the lender name and company below.
How did you hear about us?
Use this space for any specific preferences, accessibility needs, or unique circumstances that will help us serve you better.
I/We certify that the information provided in this intake form is true and accurate to the best of my/our knowledge. I/We understand that providing incomplete or inaccurate information may affect the quality and efficiency of the real estate services provided.
By submitting this form, I/we provide express consent to be contacted by [Your Company/Agent Name] via the contact methods provided (phone, email, or text) regarding real estate opportunities, market updates, and administrative matters related to my/our inquiry.
I/We acknowledge that the completion of this form does not guarantee the purchase, sale, or lease of a property. This document is intended for information-gathering purposes to better assist in the real estate process.
I/We understand that submitting this form does not, by itself, create an exclusive agency agreement or a fiduciary relationship unless a separate representation agreement is formally executed by all parties.
Client Signature
Form Template Insights
Please remove this form template insights section before publishing.
These insights focus on operational efficiency, relationship building, and data management.
The primary goal of this form is to transition a lead into a qualified client. By capturing structured data upfront, you eliminate the "back-and-forth" phase of discovery. This demonstrates high-level professionalism and respects the client's time by ensuring that every conversation following this form is informed and productive.
Using a standardized template allows you to compare different clients’ needs at a glance. If you are managing multiple inquiries, having a consistent format makes it easier to:
Filling out a well-organized form gives the client confidence. It signals that you have a proven system in place and that you are an expert who knows exactly what questions to ask. This "onboarding experience" sets the standard for the rest of the professional relationship.
The sections regarding existing professional relationships (other agents or lenders) are designed to clarify the current status of the client. This ensures that everyone involved is aware of the current team and prevents overlapping efforts or confusion during the process.
Mandatory Questions Recommendation
Please remove this mandatory questions recommendation before publishing.
To configure an element, select it on the form.