Client Intake Form

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Client Intake Form

Hi, I'm Kendra Conyers! And I would like to thank you for the opportunity in allowing me to earn your business. A house is the largest asset most people will own; therefore, I want to ensure the process of helping you purchase a new home or the process of helping you sell your existing home is absolutely seamless.Your feedback is very important and will help to jump start the process. All information will be kept confidential.

Email *

What is your full name? (First and Last Name) *

What is your phone number? *

What is your birthdate? *

YYYY

What's your spouse's name? (Write NA if not applicable) *

How soon are you looking to purchase a new home? Or to sell your current home? *

1-3 months

3-6 months

6-9 months

9 months to a year

What is a comfortable monthly mortgage payment for you? *

$1,800-$3,300

$3,000-$4,500

$4,500 and Up

I am inquiring about selling my home.

What area would you like to live in? Or where is the home you plan to sell located? *

Fayetteville, NC and surrounding areas

Charlotte, NC and surrounding areas

Raleigh, NC and surrounding areas

Out of State

Required

A copy of your responses will be emailed to the address you provided.

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