Formular

1
Name Client 1:* This field is required.
First Name
Last Name
2
Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
3
E-mail* This field is required.
4
Cell Number* This field is required.
Area Code
Phone Number
5
How would you like to stay in touch (phone/text/email)?* This field is required.Once we go under contact, email is the business format
6
Profession and Work Address
Huge
Large
Normal
Small
Ok
Ok
7
Name Client 2:
First Name
Last Name
8
Cell Number
Area Code
Phone Number
9
E-mail
example@example.com
10
Profession and Work Address
Huge
Large
Normal
Small
Ok
Ok
11
Name(s) and age(s) of children (if applicable):
Huge
Large
Normal
Small
Ok
Ok
12
When are you planning to move?
13
What prompted you to want to move at this time?(Family expanding, new job, etc.)
14
What areas are you interested in at this time?
15
Is school a big consideration? If yes, what district(s)?
16
Have you spoken with a lender?
17
If yes, please list name and contact info.
18
If NOT, would you like a recommendation of a trusted lender:**Erwing Realty does NOT receive any sort of compensation for referring **
YESNO
19
What price ranges have you and your lender (if applicable) discussed for your purchase?
20
Do you need to sell your present home to make this move?If yes, tell them we are part of a nationwide group of professionals and can refer them to a trusted agent.
21
Story Preferences:
1 Story
2 Stories
3 Stories
22
Number of Bedrooms:Required
23
Number of Bathrooms:Required
24
Square Foot?
25
Lot Size (acres)?
26
Swimming Pool?
YESNO
27
Status:Check all that you will consider
Updated and move-in ready: I’ve got other fish to fry and want to just move in.
New Construction: I want to be the first owner, possibly be able to choose floor plan, flooring, etc.
Some minor updates required: I don’t mind repainting and replacing flooring etc.
Redo: I love a project and don’t mind putting in the time and money to make this my own.
28
What else can you tell me about what you're looking for?Architectural styles, amenities, yard size, proximity to relative, etc.
Huge
Large
Normal
Small
Ok
Ok
29
Thank you so much for your input and patronage. I look forward to doing business with you! And don’t forget: I’m never too busy for your referrals!
Should be Empty: