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andylembach.modern-realestateagents.com Open in urlscan Pro
2606:4700::6812:1659  Public Scan

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URL: https://andylembach.modern-realestateagents.com/
Submission: On September 06 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

Name: builder-form — 

<form id="_builder-form"
  style="background-color:#FFFFFF;color:#undefined;border:1px dashed #CDE0EC;border-radius:4px 4px 0 0;max-width:550px;width:100%;margin-top:;border-color:#CDE0EC;padding-top:0px;padding-bottom:0px;padding-left:20px;padding-right:20px;box-shadow:0;margin-bottom:0;"
  name="builder-form" class="ghl-survey-form" data-v-59d70bc6=""><!---->
  <div class="ghl-question-set" style="margin-top:2px;" data-v-59d70bc6=""><!--[-->
    <div class="ghl-page-current form-builder--wrap-questions ghl-question" data-v-59d70bc6="">
      <div class="fields-container row" data-v-59d70bc6=""><!--[-->
        <div style="margin-bottom:16px;" class="col-12" data-v-59d70bc6="">
          <div class="f-even form-field-container" data-v-59d70bc6="">
            <div data-v-59d70bc6="">
              <div class="field-container">
                <div id="form-usXHo8DSfkBWnFldBX8l" class="form-builder--item-input form-builder--item"><!----><label>What is the full address of the property? <span>*</span></label><input type="text"
                    placeholder="AddresEx. 123 Street, City, Zip/Postal Code, State/Province" name="usXHo8DSfkBWnFldBX8l" class="form-control" id="usXHo8DSfkBWnFldBX8l" data-required="true"><!----><!----><!----></div>
              </div>
            </div><!----><!---->
          </div>
        </div><!--]-->
      </div>
    </div>
    <div class="form-builder--wrap-questions ghl-question" data-v-59d70bc6="">
      <div class="fields-container row" data-v-59d70bc6=""><!--[-->
        <div style="margin-bottom:16px;" class="col-12" data-v-59d70bc6="">
          <div class="f-even form-field-container" data-v-59d70bc6=""><!---->
            <div class="form-builder--item form-builder--item-input" data-v-59d70bc6=""><!----><label class="field-label">What is your relationship to the address? <span>*</span></label><!--[-->
              <div style="position:relative;display:inline-block;width:100%;" class="option-radio">
                <div style="display:flex;align-items:baseline;margin-bottom:5px;"><input id="Homeowner_qr7QiiQlPekkccF63zMy_0_semqkatrjk" value="Homeowner" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="Homeowner_qr7QiiQlPekkccF63zMy_0_semqkatrjk">Homeowner</label></div>
              </div>
              <div style="position:relative;display:inline-block;width:100%;" class="option-radio">
                <div style="display:flex;align-items:baseline;margin-bottom:5px;"><input id="Family Member_qr7QiiQlPekkccF63zMy_1_semqkatrjk" value="Family Member" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="Family Member_qr7QiiQlPekkccF63zMy_1_semqkatrjk">Family Member</label></div>
              </div>
              <div style="position:relative;display:inline-block;width:100%;" class="option-radio">
                <div style="display:flex;align-items:baseline;margin-bottom:5px;"><input id="Friend_qr7QiiQlPekkccF63zMy_2_semqkatrjk" value="Friend" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="Friend_qr7QiiQlPekkccF63zMy_2_semqkatrjk">Friend</label></div>
              </div>
              <div style="position:relative;display:inline-block;width:100%;" class="option-radio">
                <div style="display:flex;align-items:baseline;margin-bottom:5px;"><input id="Potential Buyer_qr7QiiQlPekkccF63zMy_3_semqkatrjk" value="Potential Buyer" type="radio" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="Potential Buyer_qr7QiiQlPekkccF63zMy_3_semqkatrjk">Potential Buyer</label></div>
              </div><!--]--><!----><!----><!---->
            </div><!---->
          </div>
        </div><!--]-->
      </div>
    </div>
    <div class="form-builder--wrap-questions ghl-question" data-v-59d70bc6="">
      <div class="fields-container row" data-v-59d70bc6=""><!--[-->
        <div style="margin-bottom:16px;" class="col-12" data-v-59d70bc6="">
          <div class="f-even form-field-container" data-v-59d70bc6=""><!---->
            <div class="form-builder--item form-builder--item-input" data-v-59d70bc6=""><!----><label class="field-label">If the value is favorable, how soon are you looking to sell your home? <span>*</span></label><!--[-->
              <div style="position:relative;display:inline-block;width:100%;" class="option-radio">
                <div style="display:flex;align-items:baseline;margin-bottom:5px;"><input id="0-3 Months _hcIsXWkFpiyep9kgN0vW_0_semqkatrjk" value="0-3 Months " type="radio" data-q="" data-required="true"><label
                    style="margin-left:10px;margin-bottom:0;" for="0-3 Months _hcIsXWkFpiyep9kgN0vW_0_semqkatrjk">0-3 Months </label></div>
              </div>
              <div style="position:relative;display:inline-block;width:100%;" class="option-radio">
                <div style="display:flex;align-items:baseline;margin-bottom:5px;"><input id="3-6 Months_hcIsXWkFpiyep9kgN0vW_1_semqkatrjk" value="3-6 Months" type="radio" data-q="" data-required="true"><label style="margin-left:10px;margin-bottom:0;"
                    for="3-6 Months_hcIsXWkFpiyep9kgN0vW_1_semqkatrjk">3-6 Months</label></div>
              </div>
              <div style="position:relative;display:inline-block;width:100%;" class="option-radio">
                <div style="display:flex;align-items:baseline;margin-bottom:5px;"><input id="6-12 Months_hcIsXWkFpiyep9kgN0vW_2_semqkatrjk" value="6-12 Months" type="radio" data-q="" data-required="true"><label
                    style="margin-left:10px;margin-bottom:0;" for="6-12 Months_hcIsXWkFpiyep9kgN0vW_2_semqkatrjk">6-12 Months</label></div>
              </div>
              <div style="position:relative;display:inline-block;width:100%;" class="option-radio">
                <div style="display:flex;align-items:baseline;margin-bottom:5px;"><input id="12+ Months _hcIsXWkFpiyep9kgN0vW_3_semqkatrjk" value="12+ Months " type="radio" data-q="" data-required="true"><label
                    style="margin-left:10px;margin-bottom:0;" for="12+ Months _hcIsXWkFpiyep9kgN0vW_3_semqkatrjk">12+ Months </label></div>
              </div><!--]--><!----><!----><!---->
            </div><!---->
          </div>
        </div><!--]-->
      </div>
    </div>
    <div class="form-builder--wrap-questions ghl-question" data-v-59d70bc6="">
      <div class="fields-container row" data-v-59d70bc6=""><!--[-->
        <div style="margin-bottom:16px;" class="col-12" data-v-59d70bc6="">
          <div class="f-even form-field-container" data-v-59d70bc6=""><!---->
            <div class="form-builder--item heading-element" data-v-59d70bc6="">
              <div class="text-element"
                style="color:#000000;background-color:#FFFFFF;border:0px none #FFFFFF;border-radius:0px;font-family:'roboto';font-size:30px;font-weight:600;text-align:left;padding:0px 20px 0px 20px;box-shadow:0px 0px 0px 0px #FFFFFF;line-height:1.5;">
                <div>Where Should We Send Your Results?</div>
              </div>
            </div><!---->
          </div>
        </div>
        <div style="margin-bottom:16px;" class="col-12" data-v-59d70bc6="">
          <div class="f-odd form-field-container" data-v-59d70bc6=""><!---->
            <div class="form-builder--item heading-element" data-v-59d70bc6="">
              <div class="text-element"
                style="color:#000000;background-color:#FFFFFF;border:0px none #FFFFFF;border-radius:0px;font-family:'roboto';font-size:25px;font-weight:400;text-align:left;padding:0px 20px 0px 20px;box-shadow:0px 0px 0px 0px #FFFFFF;line-height:1.5;">
                <div>(Valid Contact Info Required)</div>
              </div>
            </div><!---->
          </div>
        </div>
        <div style="margin-bottom:16px;" class="col-12" data-v-59d70bc6="">
          <div class="f-even form-field-container" data-v-59d70bc6=""><!---->
            <div class="form-builder--item heading-element" data-v-59d70bc6="">
              <div class="text-element"
                style="color:#000000;background-color:#FFFFFF;border:0px none #FFFFFF;border-radius:0px;font-family:'roboto';font-size:17px;font-weight:400;text-align:left;padding:0px 20px 0px 20px;box-shadow:0px 0px 0px 0px #FFFFFF;line-height:1.5;">
                <div>*You will receive confirmation via text message</div>
              </div>
            </div><!---->
          </div>
        </div>
        <div style="margin-bottom:16px;" class="col-12" data-v-59d70bc6="">
          <div class="f-odd form-field-container" data-v-59d70bc6="">
            <div data-v-59d70bc6="">
              <div class="field-container">
                <div id="form-full_name" class="form-builder--item-input form-builder--item"><!----><label>Your Full Name <span>*</span></label><input type="text" placeholder="Full Name" name="full_name" class="form-control" id="full_name"
                    data-required="true"><!----><!----><!----></div>
              </div>
            </div><!---->
            <div class="field-divider" data-v-59d70bc6=""></div>
          </div>
        </div>
        <div style="margin-bottom:16px;" class="col-12" data-v-59d70bc6="">
          <div class="f-even form-field-container" data-v-59d70bc6=""><!---->
            <div class="form-builder--item field-container form-builder--item-input" data-v-59d70bc6=""><!----><label>Email <span>*</span></label>
              <div>
                <div class="flex email-input"><input placeholder="Email" name="email" type="email" class="form-control" data-required="true"><!----></div><!----><!---->
              </div><!----><!----><!---->
            </div>
            <div class="field-divider" data-v-59d70bc6=""></div>
          </div>
        </div>
        <div style="margin-bottom:16px;" class="col-12" data-v-59d70bc6="">
          <div class="f-odd form-field-container" data-v-59d70bc6="">
            <div data-v-59d70bc6="">
              <div class="field-container">
                <div id="form-phone" class="form-builder--item-input form-builder--item"><!----><label>Best Phone (Mobile) Number To Text The Value To? 📲 <span>*</span></label>
                  <div>
                    <div class="flex phone-input" style=""><input type="tel" name="phone" placeholder="Phone" autocomplete="off" class="countryphone" id="phone" data-required="true"><!----></div><!----><!---->
                  </div><!----><!----><!---->
                </div>
              </div>
            </div><!---->
            <div class="field-divider" data-v-59d70bc6=""></div>
          </div>
        </div>
        <div style="margin-bottom:16px;" class="col-12" data-v-59d70bc6="">
          <div class="f-even form-field-container" data-v-59d70bc6=""><!---->
            <div class="form-builder--item form-builder--item-input" data-v-59d70bc6=""><!----><label class="field-label">SMS <span>*</span></label><!--[-->
              <div style="position:relative;display:inline-block;width:100%;">
                <div class="in-r-c"><input id="Consent to receive SMS messages regarding your home evaluation._8QCEwv5QCTxmjmVOjxfJ_0_semqkatrjk" value="Consent to receive SMS messages regarding your home evaluation."
                    name="Consent to receive SMS messages regarding your home evaluation." type="checkbox" data-required="true"><label style="margin-left:10px;"
                    for="Consent to receive SMS messages regarding your home evaluation._8QCEwv5QCTxmjmVOjxfJ_0_semqkatrjk">Consent to receive SMS messages regarding your home evaluation.</label></div>
              </div><!--]--><!----><!---->
            </div>
            <div class="field-divider" data-v-59d70bc6=""></div>
          </div>
        </div><!--]-->
      </div>
    </div><!--]-->
  </div><!----><!---->
</form>

Text Content

WHAT'S MY HOME WORTH NOW?


WHAT'S MY HOME WORTH NOW?

Recent home sales have affected your home's value! Take our 30-second quiz below
to get your new home's value for FREE!

What is the full address of the property? *
What is your relationship to the address? *
Homeowner
Family Member
Friend
Potential Buyer
If the value is favorable, how soon are you looking to sell your home? *
0-3 Months
3-6 Months
6-12 Months
12+ Months
Where Should We Send Your Results?
(Valid Contact Info Required)
*You will receive confirmation via text message
Your Full Name *

Email *


Best Phone (Mobile) Number To Text The Value To? 📲 *


SMS *
Consent to receive SMS messages regarding your home evaluation.

0%


100% Secure. We Never Share or Sell Your Information.

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