Lead Intake Form | Upstate Home Offers

Upstate Home Offers – Lead Intake Form

Name*

First Last

Phone*

Email*

Property Address*

Street Address City State ZIP Code

Reason For Selling*

Timeframe to Sell*

How long have you owned the property?*

Number Bedrooms*

Number of Bathrooms*

Is there anyone living in the house?*

What is the current condition of the property?*

What kind of repairs and maintenance does the house need?*

Is the house currently listed with a realtor?*

What's your ultimate goal with your house?*

Name

This field is for validation purposes and should be left unchanged.