Real Estate - Southern State Realty Partners

Agent on our team that you're working with?*
Please choose agent that will be helping list your home
PERSONAL INFO
Owner's Name*

First NameLast Name
Owner's Phone number*
Owner's Preferred Email*
example@example.com
Owner Date of birth

MonthDayYear
Date
Is there a Co-Owner?*
Choose Yes/No
Name of Co-Owner

First NameLast Name
Co-Owner Phone Number
Co-Owner Email
example@example.com
Co-Owner DOB

MonthDayYear
Date
If married to co-owner, please provide anniversary date
Do you have children?*
Choose Yes/No
If yes, please provide names & ages...
We don't share any of this info!
Address (selling property)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Current Mailing Address (if different)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Preferred contact method - Choose all that apply*

Phone callTextEmail
Preferred contact time - Choose all that apply*

MorningAfternoonEveningAnytime
HOME & SELLING INFO
Timeline to sell home (in months)
Payoff Amount
This can be found by either calling the mortgage company or finding it through their respective site
Do you have any other mortgages besides this one? If so, how many?
Who is the current home owners insurance with and what is the annual premium amount due?*
Please state names that appear on the title*
Do you have any outstanding repair issues with the house?*
If yes, please describe...
Is the property homesteaded? (Primary residence for you)*
Choose Yes/No
Is there an HOA?*
Choose Yes/No
How much is the HOA?
How are dues paid?

MonthlyQuarterlyYearly
Name of HOA company (if known)
Contact info for HOA (if known)
Do you have a copy of the covenants and restrictions for HOA?
Choose Yes/No
Would you like to send it to us now or later?

NowLater
How would you prefer to send to us?

Take a photo with your phoneUpload from phone or computerEmail it
Upload covenants and restrictions here...

Cancelof
Take a photo of the covenants and restrictions here...
EMAIL TO: OPS@SOUTHERNSTATE.CO
Do you have a copy of the survey?*
Choose Yes/No
Would you like to upload it now or later?

NowLater
How would you prefer to send to us?

Take a photo with your phoneUpload from phone or computerEmail it
Upload survey here

Cancelof
Take a photo of the survey here...
EMAIL TO: OPS@SOUTHERNSTATE.CO
Do you have a copy of the existing title policy? (Having title policy could save money on closing cost when we sell)
Choose Yes/No
Would you like to upload it now or later?

NowLater
How would you prefer to send to us?

Take a photo with your phoneUpload from phone or computerEmail it
Upload title policy here

You can send this later if needed and/or you can scan with your phone (Apple Notes or a PDF Scanner), then upload.
Cancelof
Take a photo of the policy here...
EMAIL TO: OPS@SOUTHERNSTATE.CO
We will need a copy of the key for the lock box, are you okay with this?*
Choose Yes/No
If you have a keypad entry, please provide code...
Upgrades you have done to the house since you acquired it ?
Total SQFT of your home?
We'll email the tax record and highlight the square footage to make sure there's no discrepancy
How is the square footage in your home broken down?

Main LevelUpper LevelFinished basedUnfinished Basement
Main level SQFT
Upper level SQFT
Finished Basement SQFT
Unfinished Basement SQFT
Lot size (if condo/townhome, put 0)
In acreage
Attic (Yes or No)*

YesNo
Type of attic?

Walk upPull downScuttle
Age of HVAC? (if unsure please provide model and serial numbers below HVAC notes...numbers can be found on the side of the unit)
Furnace or Heat Pump?
If you have a gas line running to your heating system, then it's a furnace. Heat pumps only use electricity.
Are your units gas or electric?
Choose one
Do you have more than one unit?*
Choose one
Age of additional HVAC?
Notes (if any) about HVAC(s)
Age of roof?*
approximate
Type of roof*
Choose one
Age of hot water heater?*
approximate
Is your hot water heater (tank or tankless)?*
Choose one
Is your hot water heater (Gas or Electric)?*
Choose one
Do you have more than one hot water heater?*
Choose Yes/No
If so, age of additional hot water heater?
Average water bill & company?
Please separate by -
Average power bill & company?
Please separate by -
Average gas bill & company?
Please separate by -
Termite Bond?*
Choose Yes/No/Not sure
Name of termite company?
Type of bond? What do they cover?
Choose one
Do you have an alarm system?*
Name of alarm system?
Type of alarm system
Monthly Cost?
Additional alarm system notes
Are there security cameras, Carbon monoxide sensors, etc...
Sewer or Septic?*

SewerSeptic
Type of water?*

PublicWellPrivate
Do you have any of the following fees?

Fire feeLibrary FeeGarbage fee
Fire fee
Library fee
Garbage fee
Do you have a fireplace?*
Choose Yes/No
How many?*

1234
Fireplace location (1)
Fuel Type (1)
Choose one
Fireplace Details (1) - Choose all that apply

Tile surroundGranite surroundMarble surroundBrickInsertVentedVentlessBlower FanGas StarterSee ThroughGas LogsOther
Fireplace location (2)
Fuel Type (2)
Choose one
Fireplace Details (2) - Choose all that apply

Tile SurroundGranite surroundMarble surroundBrickInsertVentedVentlessBlower FanGas StarterSee ThroughGas LogsOther
Fireplace location (3)
Fuel Type (3)
Choose one
Fireplace Details (3) - Choose all that apply

Tile surroundGranite surroundMarble surroundBrickInsertVentedVentlessBlower FanGas StarterSee ThroughGas LogsOther
Fireplace location (4)
Fuel Type (4)
Choose one
Fireplace Details (4) - Choose all that apply

Tile surroundGranite surroundMarble surroundBrickInsertVentedVentlessBlower FanGas StarterSee ThroughGas LogsOther
Do you have a pool?*
Choose Yes/No
Pool Type

Vinyl LinerGuniteChlorineSaltwaterOther
Do you have any warranties that are transferable to the potential buyer?
Please explain details of home
Please tell us what you have loved about your home and neighborhood/area?
Any additional information about the house we should know?
We need to understand the best/coolest/noteworthy features of your home for our photography and videography. These will be on the 'shot list' professional footage & the various marketing we will do. Please explain and separate with a comma...ex (High end appliances, lake with 100 feet of shoreline with property boundary, rainfall showerhead, heated floors, finished basement with media room, projector and surround sound system, etc...)
Do you have trash pickup?*
Choose Yes/No
Day of trash pickup?
Do you have recycling pickup?*
Choose Yes/No
Day of recycling pickup?
Do you have internet service at your home?*

YesNo
What company is your internet service provider?
example: Spectrum, AT&T
Can internet services be obtained at your home?

YesNoNot sure, never looked into it
What Elementary School is your house zoned for?*
What Middle School is your house zoned for?*
What High School is your house zoned for?*
Please list all associated public schools (if known)
Elementary, Middle, High School
Any additional information about you or your weekly schedule we should know?
Do you have any upcoming vacations or Paid Time Off (PTO) that we need to schedule around?
Pets? What kind and how many?
BUYING INFO
Do you need to buy a home when you sell yours?*
Choose Yes/No
Area you will be buying in?
Would you like us to interview an agent for your out-of-area move?

YesNo
Will you be using cash or a loan to purchase your next home?

CashLoan
Have you been pre-approved with mortgage lender?
Choose yes or no
Mortgage Company
Mortgage Lender Name

First NameLast Name
Mortgage lender: Phone
Mortgage lender: Email
example@example.com
Pre-approval letter

Cancelof
Are you ok with HOA neighborhoods?
Choose Yes/No/Possibly
Please describe the perfect home...
Ex: All brick home, hardwood floors, 2-car garage, flat backyard
'Non-negotiables' for your next home?
'Would be nice to have' for your next home?
MISC INFO
Social Media Accounts

FacebookInstagramTwitterLinkedInSnapchatMarco PoloNopeOther
If checked, please include what your username/handle are for the accounts...
separate each with comma
Favorite Season

WinterSpringSummerFall
Favorite Pizza?
Pepperoni, Meat Lovers, Veggie, Cheese, or I DON'T LIKE PIZZA!!
Is there any Pizza places that you absolutely DON'T like?
Pizza Hut, Papa Johns, or I like them all
Favorite Non-Alcoholic Drink?
Coffee, Tea, Water, Soda, etc
Favorite Drink WITH Alcohol?
Red wine, Eagle Rare Bourbon, Good People IPA, or I don't drink!
Do you have a favorite 'local' place to eat and drink?
Coffee Shop, Restaurant, etc
Favorite Holiday?
Christmas, Halloween, Thanksgiving, etc.
Favorite vacation spot?
Name the place you would love to just keep going back to...
AGREEMENT
If we haven't already completed the listing agreement, do you have a moment to do it right now?....Link is below to complete.*

YesNo
Watch me first for some details on listing agreement
Should be Empty:

SELLER QUESTIONNAIRE

Please fill out and hit 'Lets Do This'. If you have any questions, please email us at ops@southernstate.co

PERSONAL INFO

HOME & SELLING INFO

EMAIL TO: OPS@SOUTHERNSTATE.CO

EMAIL TO: OPS@SOUTHERNSTATE.CO

EMAIL TO: OPS@SOUTHERNSTATE.CO

BUYING INFO

MISC INFO

AGREEMENT