• Jeremiah Abu-Bakr
    Jeremiah Abu-Bakr
  • +1(202) 957-8332 [email protected]

JEREMIAH REAL ESTATE

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ALL ABOUT YOU FORM

 

Welcome!

My goal is to build relationships,  and not just complete a transaction.

This short form helps me better serve you before,during, and after the process. 

Email Address*

First Name*

Last Name*

Phone Number*

Address*

City*

State*

Zip Code*

Birthday*

Spouse / Partner Name *

Wedding Anniversary*

Children(s) Name & Age *

Pets (Dog, Cat, Other)*

Favorite Hobby*

Favorite Restaurant *

Favorite Food *

Favorite Candy/Snack*

Favorite Store*

Favorite Dessert*

Favorite Movie*

Favorite Cocktail*

Favorite Coffee*

Favorite Flower Plant*

Relaxation Method*

Favorite Starbucks Drink*

Favorite Charity*

Preferred Communication Method; Zoom / Phonecall / In-person*

Do you have an Insurance Agent? Yes/No*

If yes above, who? (Name)*

Do you have a CPA / Tax Professional? Yes/No*

If yes above, who? (Name)*

Do you have a Financial Planner? Yes/No*

If yes above, who? (Name)*

Do you know anyone who wants to buy or sell real estate? Yes / No *

If yes, Name and Phone Number / Email *

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Thanks! I'll get back to you shortly.