Full Name:

Phone Number:

Email Address:

Preferred Method of Contact:

• Phone

• Email

• Text Message

Property Address:

Type of Property:

• Residential

• Commercial

• Land

• Other (please specify)

Current Status of Property:

• Owned

• Renting

• Vacant

• Other (please specify)

Type of Service Required:

• Buying

• Selling

• Renting

• Property Management

• Other (please specify)

Preferred Location (if applicable):

Budget/Price Range:

$

Timeline:

• Urgent

• Flexible

• Specific Date (please specify)

Reason for Buying/Selling/Renting:

Any Specific Requirements or Preferences:

Additional Comments or Questions: