Real-Estate Intake Form

Type of the transaction

Name *

First

Last

Name *

First

Last

Email *

Please enter your email, so we can follow up with you.

Phone number

Residency status *

City of your residence/Province *

Marital Status *

Address of the property *

Please write the full address including the name of the city, province an the postal code

Post closing address *

Closing Date *

If this is a purchase, are you buying this property to reside in there with your family

Are you a first home buyer *

If this is a purchase, are you receiving a mortgage?

If you are getting the mortgage, please write the name of the Lender

If this is a sale, is there any mortgage registered on the Title?

If yes, please write the name of the Lender for your registered mortgage

Specific instruction