DATE _______________ SELLER APPOINTMENT FORM FORD D I S C

Names on Deed_____________________________________________________________________________

Mailing Address_____________________________________________________________________________

Property Address if different ___________________________________________________________________

H#_________________________ Cell_____________________ E-Mail: _____________________________

Work # ______________________ Work # _____________________________FAX:_____________________

How did you hear of the Cindy Dickerman Team? Source of call_______________________________________ ___________________________________________________________________________________________Explain PA Consumer Notice _______________

Why do you need to sell your home? ______________________________________________________________How soon do you need to move? ______________Is a Relocation Co. paying your expenses__________________When did you buy your home? _______________ Age of home? ________What did you pay? _______________What is your outstanding Mortgage Balance? _________________Are you current on your Mortgage? ____ (If “No” please fill out other side completely)How much do you hope to get for your home?______________________________________________

Tell me about your home: Style ___________Describe floorplan 1st. fl./2nd.______________________ Bedrooms ______Baths______LR/Great Rm ______DR _______ Kit.______________________Family Rm _____________________Study __________ Basement Fin?O.E.?_____________________Other___________________________ Garage___________ Lot size/View _________________________Public Water/Well _______Age/Last tested? ____________ Public Sewer/On Site______Age/Last Inspected? __________________________ Any Leased systems? ____________________________________ ____________________________________________________________________________________________What improvements/Upgrades have you made? Additions? Flooring? Age or conditions of Kitchen/Baths?_______ _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

How does your home compare to others in the neighborhood? What is Unique? ________________________________________________________________________________________________________________________Have you been on the market before?___________When?_________Why didn’t it sell? _________________________________________________________________________________________________________________When are you planning to put your home on the market? ______________________________________________If you hire me as your Realtor, what are your expectations? ________________________________________________________________________________________________________________________________________Are you interviewing other Realtors?______Have you met with other Realtors?__________________Why didn’t you hire one of them? _________________________________________________________________When are you signing a listing contract?_______Have you thought about selling yourself? _________________

Is there anything that I didn’t ask that is important for me to know?_____________________ _____________________________________________________________________________________________PRELIST? Yes or No Delivery Instructions:____________________________________________________

PRELIST - DATE DELIVERED_______ Initials _______ REFERRAL? Y/N? Initials _________

FILE CREATED I Initials _______ REFERRAL T/Y SENT Initials ______________

APPT. (ALL PARTIES) DATE/TIME __________________________________________________________

T:\Office Forms\Office Forms-M\New Seller\Seller appt. Form.doc. Updated 12/06