Prospect Intake Form
Prospect First Name
Prospect Last Name
Phone
Mobile
Street
City
State/Province
Zip
Bedrooms:
Bathrooms:
Square footage:
Reason For Selling?:
Currently listed with a realtor?:
–None–
Yes
No
Property's current condition:
–None–
Excellent
Good
Average
Poor
Asking price?:
What is your timeframe for selling?:
–None–
7-14 days
14-30 days
30-60 days
60-90 days
90 + days
Name of Prospecting Agent:
–None–
Paul Lopez
Lizeth Rubio
Adriana Garcia
Other
Campaign Source:
–None–
Pre-Foreclosure
SMS
Cold Calling
Driving 4 $
FSBO
4 Rent Sign
Vacant
Trashy/Distressed
Referral
Other
Phone
This field is for validation purposes and should be left unchanged.
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