ACKNOWLEDEMENT CHECK THE BOX TO ACKNOWLEDGE YOUR UNDERSTANDING OF YOUR DUTIES. YOU ARE ACCESSING A LEAD GENERATION FORM. TO SUCCESSFULLY SUBMIT THE FORM YOU MUST ENTER AN ANSWER TO EACH QUESTION. IF THE CALLER DOES NOT PROVIDE A RESPONSE TO ALL THE QUESTIONS, PLEASE ENTER N/A TO MOVE TO THE NEXT QUESTION. LISTEN CAREFULLY TO THE CALLER'S RESPONSE TO ENSURE ACCURACY. SMILE AND SPEAK CLEARLY SO THE CALLER CAN UNDERSTAND YOUR QUESTIONS. MOST IMPORTANT BUILD RAPPORT WITH THE CALLER. Is the property that you require concierge real estate services for located in the state of Florida? Yes No Would you like a referral for the property state? Yes No Seller, Buyer, Landlord, Renter, Other Seller Buyer Landlord Renter Other May I have your name please? May I have the address of the property to be listed for Sale? City State Alabama AL Alaska AK Arizona AZ Arkansas AR California CA Colorado CO Connecticut CT Delaware DE Florida FL Georgia GA Hawaii HI Idaho ID Illinois IL Indiana IN Iowa IA Kansas KS Kentucky KY Louisiana LA Maine ME Maryland MD Massachusetts MA Michigan MI Minnesota MN Mississippi MS Missouri MO Montana MT Nebraska NE Nevada NV New Hampshire NH New Jersey NJ New Mexico NM New York NY North Carolina NC North Dakota ND Ohio OH Oklahoma OK Oregon OR Pennsylvania PA Rhode Island RI South Carolina SC South Dakota SD Tennessee TN Texas TX Utah UT Vermont VT Virginia VA Washington WA West Virginia WV Wisconsin WI Wyoming WY Zip Code Home Telephone No. Mobile Telephone No. Email IS THE ADDRESS FOR THE PROPERTY YOU ARE LISTING FOR SALE THE SAME AS YOUR MAILING ADDRESS? IF THE CALLER ANSWERS NO ENTER THE MAILING ADDRESS BELOW. IF THE CALLER ANSWERS YES ENTER SAME AS ABOVE BELOW. City State Alabama AL Alaska AK Arizona AZ Arkansas AR California CA Colorado CO Connecticut CT Delaware DE Florida FL Georgia GA Hawaii HI Idaho ID Illinois IL Indiana IN Iowa IA Kansas KS Kentucky KY Louisiana LA Maine ME Maryland MD Massachusetts MA Michigan MI Minnesota MN Mississippi MS Missouri MO Montana MT Nebraska NE Nevada NV New Hampshire NH New Jersey NJ New Mexico NM New York NY North Carolina NC North Dakota ND Ohio OH Oklahoma OK Oregon OR Pennsylvania PA Rhode Island RI South Carolina SC South Dakota SD Tennessee TN Texas TX Utah UT Vermont VT Virginia VA Washington WA West Virginia WV Wisconsin WI Wyoming WY Zip Code What is the Property Type? Residential or Commercial Residential Commercial Would you like us to email you a FREE Comparable Market Analysis (CMA)? Yes No Would you like to schedule a listing appointment? Yes No What is a convenient date for your listing appointment? What is a convenient time for your listing appointment? Is there anything else you would like the licensed agent to know? Are You The Property Owner Yes No If "No" enter the Property Owners Name Property Owner Telephone No. May I place you on hold for a moment while I connect you with an agent? Yes No Choose Agent Who Answered The Call Chris Ibanez Alex Cunningham Patrice Rolle Johnathan Palmer Patricia Kalil Sierra Damon Lasonja Taylor NO AGENT ANSWERED IF NO AGENT ANSWERS RETURN TO THE CALL AND SAY: Thank you for holding I apologize but I do not have an agent available to take your call at this time. I will assign you to the next available agent and they will give you a call back as soon as they are available. WRITE CALLERS RESPONSE BELOW AFTER YOU TYPE THE CALLERS RESPONSE ABOVE YOU SAY: Is there anything else I can do for you at this time? WRITE CALLERS FINAL COMMENTS BELOW. YOU MUST SUBMIT THIS FORM EVEN IF AN AGENT ANSWERS. CALL COMPLETED CALLER HUNG UP SUBMIT