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Realtor's Survey

* Required entry

* Realtor's Name:

   Realtor's Company:











Email Address:

Mailing address:
(include city, state, zip)
How did you hear about us:
Best time to contact you:
   (if applicable)
Acceptable ways to contact you: Work Phone Email
Home Phone U.S. mail
Cell Phone
Do you have a client that could currently use our services? Yes    No
For the client in question, are you acting as the: Listing Agent    Buyer's Agent
What date does your listing or
 buyer's agreement end?
In what part of town is the seller's property located?
What is the current List Price?  (ex. $150,000)
How much is owed on the home?  (ex. $140,000)
Monthly payments: 
On Loans: (ex. $1,250.56)
Property Taxes: (ex. $1,200 per 6 mo.)
Insurance: (ex. - $725 per yr.)
Which of the following applies to your client:  Property Needs Work Two payment situation
Little/No Equity Behind in payments
Needs proceeds from current home to buy next home Home just won't sell
Estate Situation Foreclosure
Close Quickly Vacant 
Detailed Description of your client's situation or pressing problem:
Is the Seller Open to a creative solution to their situation such as a lease purchase or land contract? Yes    No
Have you worked with a 
professional investor before?
Yes    No

You may submit this form in any of the following ways:

  1. Fill out the form above and then click the "Send Survey" button to send the information to us.

  2. Print out the form then either Fax it to Keynote Property at (513) 631-7368 or

  3. Mail the form to:  

                     KeyNote Property

7672 Montgomery Rd., #340

                    Cincinnati, OH 45236


Once we receive your information someone from KeyNote Property will

contact you as soon as possible.  Thank you.

Note: All information on this form will be kept in the strictest of confidence. It will never be sold, traded, or given away without your permission. See the Privacy Policy link below for more information.

                  Keynote Property's  Privacy Policy