AREA
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AREA Home
SELLER'S Information
SELLER'S Registration
BUYER'S Registration
REALTOR® Information
AREA's Team
Corporate Relocation
AREA Lead Gen
Lead Generation Form

By accepting this referral; you have acknowledged that this client referral is the property of Britton Brown with Keller Williams Eastland Partners. The agreed upon referral rate has been discussed and has been agreed upon prior to accepting the referral and all information will be updated as the client moves forward.

* Required fields
Name *
E-mail Address *
Day of Week Contact *
Date of Contact __/__/2011 *
Time of Contact __:__am/pm
AREA Representative: *
BUYER/SELLER * Buyer
Seller
Both- Buyer & Seller
Clients Name: *
Property Address *
Subdivision Name
Home Phone
Cell Phone
Office Number
Clients Email Address:
Property Style/Type:
Age:
Built In:
Square Footage:
Bedrooms:
Bathrooms:
Laundry Room:
Garage:
Family Room
Formal Living Room
Main Floor Family Room
Basement
Yard:
Construction: Bat & Board
Vinyl
Stucco
Brick
Wood Siding
Other
How Long Have You Live There?
Updates/Updgrades/Notes:
What Was The Original Purchase Price?
Payoff 1st Mortgage:
Payoff 2nd Mortgage:
Additional Information on Client:
Listing History: New
Expired
FSBO
If Listed Before; How Long?
Suggested Appointment Date: __/__/2011
Appointment Time
DISC PROFILE: D
I
S
C

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