Lead Intake Form

Acquisitions Agents

Fill out the form below with as much info as you can. At the end there is a blank for any other info.

Acquisitions Agent Name (YOU)

Lead Source

Agent Name (if referred by Agent)

Agent Phone (if referred by agent)

Free Text

If referred by an Agent, please skip to the House Information as the Agent will be the one in contact with the Owner/Seller.

Owner Name:

Owner Email:

Owner Phone:

Free Text

HOUSE INFORMATION:

Address

City:

State:

Zip Code:

# Bedrooms

# Bathrooms

What repairs does the house need?

Why do they want to sell the house?

Is anyone living in the house?

Do they need to sell the house fast?

Other Info