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Seller Intake Form
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Seller intake form for Jim Duncan, Realtor with Nest Realty Group in Charlottesville, Virginia.
Questions?
jim@nestrealty.com
or 434-242-7140
Name
Your answer
Phone number
Your answer
Address
Your answer
Type of Residence
Single Family
Condo
Townhouse
Land
Clear selection
Number of Bedrooms
Your answer
Number of Bathrooms
Your answer
Garage?
Yes
No
Other:
Clear selection
If yes to garage, how many bays?
Your answer
Year home was built?
Your answer
Age of roof?
Your answer
Age of HVAC(s)?
Your answer
Association fees? (if applicable)
Your answer
HOA Contact Information
Your answer
Association Fee Covers?
Your answer
What is your motivation for selling your home?
Your answer
How long have you lived in your home?
Your answer
When do you plan or think you would like to move?
Option 1
Clear selection
What do you like about your current home or neighborhood?
Your answer
List of Updates:
Your answer
What repairs are needed in your opinion?
Your answer
Goal List Price?
Your answer
Mortgage Payoff:
Your answer
Showing Instructions:
Your answer
Do you have any pets? If so, what kind?
Your answer
Utility Provider for Water:
Your answer
Utility Provider for Sewer:
Your answer
Utility Provider for Trash:
Your answer
Utility Provider for Power:
Your answer
Utility Provider for cable:
Your answer
Energy Ratings(s)? (HERS, etc)
Your answer
Do you have solar? Tell me about it if you do.
Your answer
Private Well? If so, what is the depth? Recovery rate?
Your answer
Septic system? If so, when was it last pumped?
Your answer
Sump Pump?
Your answer
Radon system in place?
Your answer
Average Utilities Costs for: Water, Electric, Gas?
Your answer
Do you have survey?
Your answer
Home Warranty provider? If so, date of expiration?
MM
/
DD
/
YYYY
HVAC annual service contract? If so, name of provider?
Your answer
Termite/Pest annual service contract? If so, name of provider?
Your answer
Additional Notes?
Your answer
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