test - Coterie Exchange

Owner Name:

Spouse Name:

Property Address:

City, State, Zip:

Current Mailing Address:

City, State, Zip:

Owner Phone:

Spouse Phone:

Home Phone:

Optimal Time to Call:

Owner Email:

Spouse Email:

Why are you selling?

Where are you moving to?

When do you have to be there?

Do you need an agent at your new location?

Yes

No

Are you ready to list your home now?

Yes

No

If not when:

Any current Liens on Property

Yes

No

Have you sold a home before

Yes

No

Is the home

Occupied

Vacant

If Occupied are Pets on Property :

Yes

No

during showings how will pets be secured?

Gate Code

Alarm system

Yes

No

Do you Own Lease Alarm Code

How long have you owned your home?

Purchase price of home $

Approximate Balance on home $

Current Lender

Lender Contact

Lender Ph

# Bedrooms:

1+

1+
2+
3+
4+
5+
6+
7+

# Baths:

1+

1+
2+
3+
4+
5+
6+
7+

#Living Rm:

1+

1+
2+
3+
4+
5+
6+
7+

#Dining:

1+

1+
2+
3+
4+
5+
6+
7+

Family Rm:

1+

1+
2+
3+
4+
5+
6+
7+

Bon Rm:

1+

1+
2+
3+
4+
5+
6+
7+

Age of home:

1+

1+
2+
3+
4+
5+
6+
7+

Stories:

1+

1+
2+
3+
4+
5+
6+
7+

Fireplace

Yes

No

Type:

Electric Prefab
Vented Gas
Ventless Gas
Wood burning/Masonry

Fuel Tank on Property

Yes

No

Do you:

Own

Lease

Is fuel tank:

Above

Below

Is fuel tank:

Oil Propane

Gas/Diesel

Termite Bond on Property:

Yes

No

If yes, is it transferrable?

Yes

No

Cost to transfer $

Termite Company Name

Do you have a Home Warranty

Yes

No

If yes, what company

Cost of HW $

Home Owners Association

Yes

No

Dues $

Manthly
Annually

Managed by:

Is your home in a flood zone

Yes

No

, do you have flood insurance

Yes

No

Is home on crawlspace slab

Subdivision Name:

Type of garage:

Single
Double
Carport
None

Approximate Square feet:

Builder Name:

Utility Company’s:

Electric

Water

Gas

Sewer

Septic

Date last pumped

Average utility bill?

Taxes

City

County

School Info:

Elementary

Middle

High

Why did you purchase your home (what sold you)

Please list any updates/special features to the home(if new please list dates of when updated)

Is there any Personal Property remaining (ie..refrigerator, washer & dryer, play set, sheds)

Any items Leased and not Owned (ie..alarm system, fuel tanks, satellite dish, appliances)

What are the 3 things you are looking for in your real estate agent?

Do you give Coterie Exchange LLC consent to send you documents electronically for signature?

Yes

No

Can we contact you via text or email?

Yes

No

Do you want us to schedule the yard services?

Yes

No