REAL ESTATE · CONTACT FORM TEMPLATE

Home Valuation Form (Seller Lead Capture)

'What's my home worth?' is the highest-intent search a seller will ever make. This is the form that converts that click into a listing appointment.

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form.htmlhtml53 lines

01<form action="https://splitforms.com/api/submit" method="POST">
02  <input type="hidden" name="access_key" value="YOUR_ACCESS_KEY">
03  <input type="hidden" name="subject" value="New home valuation lead">
04 
05  <label for="name">Full name *</label>
06  <input id="name" type="text" name="name" placeholder="Sasha Vorona" required>
07  <label for="email">Email *</label>
08  <input id="email" type="email" name="email" placeholder="sasha@example.com" required>
09  <label for="phone">Phone *</label>
10  <input id="phone" type="tel" name="phone" placeholder="+1 555 0142" required>
11  <label for="address">Property address *</label>
12  <input id="address" type="text" name="address" placeholder="1247 Valencia St, San Francisco" required>
13  <label for="type">Property type *</label>
14  <select id="type" name="type" required>
15    <option value="">Choose…</option>
16    <option>Single-family</option>
17    <option>Condo</option>
18    <option>Townhouse</option>
19    <option>Multi-family</option>
20    <option>Land</option>
21    <option>Other</option>
22  </select>
23  <label for="bedrooms">Bedrooms</label>
24  <select id="bedrooms" name="bedrooms">
25    <option value="">Choose…</option>
26    <option>Studio</option>
27    <option>1</option>
28    <option>2</option>
29    <option>3</option>
30    <option>4</option>
31    <option>5+</option>
32  </select>
33  <label for="timeline">When are you thinking of listing? *</label>
34  <select id="timeline" name="timeline" required>
35    <option value="">Choose…</option>
36    <option>ASAP</option>
37    <option>1–3 months</option>
38    <option>3–6 months</option>
39    <option>6–12 months</option>
40    <option>Just curious</option>
41  </select>
42  <label for="notes">Recent renovations / features</label>
43  <textarea id="notes" name="notes" placeholder="New kitchen 2024, finished basement, etc."></textarea>
44 
45  <!-- honeypot — bots fill every field -->
46  <input type="checkbox" name="botcheck" style="display:none" tabindex="-1" autocomplete="off">
47 
48  <button type="submit">Send</button>
49</form>
50 
51<p style="margin-top:12px;font-size:11px;color:#888;text-align:right">
52  Powered by <a href="https://splitforms.com" style="color:#888;text-decoration:none" target="_blank" rel="noopener">splitforms</a>
53</p>

1,000

submissions / mo, free

fields, ready to ship

code outputs

60s

from copy to inbox

Home Valuation Form (Seller Lead Capture) — example splitforms template with submissions inbox

§ 01Why it mattersthe qualifying-fields argument

Seller leads are worth roughly 3-5x buyer leads in commission terms — one listing pays out the seller side, the buyer side, and often a referral. The 'what's my home worth' CTA is the single highest-converting funnel on a Realtor's site, but only if the form captures address, beds/baths, condition, and timeline. Without timeline you can't tell a 'just curious' Zestimate-checker from someone interviewing agents this week.

Pairs with Google Places autocomplete · webhooks to Follow Up Boss / kvCORE.

✦ at a glance

→Home valuation request · 8 fields
→HTML, JS, React, PHP, cURL outputs
→One POST endpoint, no SDK
→Honeypot + classifier, no CAPTCHA

§ 02Live previewinteractive · sandboxed · no key required

See exactly what your visitors see — and you’ll receive.

Left: the rendered form, fully interactive in a sandboxed iframe. Right: the email and dashboard view that lands the moment a visitor submits.

preview · home-valuation-formlocalhost:3000

✦ what you’ll see in your inbox

Every submission becomes an email plus a dashboard row. The fields below are the exact payload your form will send. Reply-to is wired to the visitor’s email so hitting reply goes back to them.

dashboard · new submission14ms · 200 OK

SUBJECT · New home valuation lead

Full name: Maya Iyer
Email: maya@studio71.co
Phone: +1 415 555 0142
Property address: —
Property type: Single-family
Bedrooms: 3
When are you thinking of listing?: 30–60 days
Recent renovations / features: Loved your last open house in Hayes — looking for similar with parking. Pre-approved through Wells Fargo.

Iframe is sandboxed — submit doesn’t actually fire. Get your access key to wire it up live.

§ 03Three steps3 steps · ~60 seconds

Generate, embed, receive.

Three actions stand between you and your first lead. None of them require a backend, a database, or a CAPTCHA library.

STEP 01GENERATE

Add the home valuation page

A dedicated /home-value or /sell page with this form is the highest-converting page on most Realtor sites. Make the headline match the search query exactly.

Create your form

key=sk_live_••••••••

STEP 02EMBED

Capture address and condition

Required: property address, beds, baths, square footage if known, condition (excellent / good / needs work), timeline. Don't ask for too much — sellers bail at field 8.

snippethtml

<form action="https://splitforms.com/api/submit" method="POST">
  …
</form>

STEP 03RECEIVE

Follow up with a CMA

On submission, send the lead an automated 'we'll send your valuation within 24 hours' email, then deliver an actual CMA — not a Zestimate screenshot. That's the listing-appointment hook.

inbox · 1 newjust now

FROM contact@yoursite.com

New home valuation lead

Maya Iyer maya@studio71.co

Loved your last open house in Hayes — looking for similar with parking. Pre-approved through Wells Fargo.

§ 04Copy & ship5 languages · same endpoint

Five outputs. One backend.

HTML by default. Click open the language you ship in — every variant POSTs to the same /api/submit endpoint.

01HTMLform.html53 lines

<form action="https://splitforms.com/api/submit" method="POST">
  <input type="hidden" name="access_key" value="YOUR_ACCESS_KEY">
  <input type="hidden" name="subject" value="New home valuation lead">

  <label for="name">Full name *</label>
  <input id="name" type="text" name="name" placeholder="Sasha Vorona" required>
  <label for="email">Email *</label>
  <input id="email" type="email" name="email" placeholder="sasha@example.com" required>
  <label for="phone">Phone *</label>
  <input id="phone" type="tel" name="phone" placeholder="+1 555 0142" required>
  <label for="address">Property address *</label>
  <input id="address" type="text" name="address" placeholder="1247 Valencia St, San Francisco" required>
  <label for="type">Property type *</label>
  <select id="type" name="type" required>
    <option value="">Choose…</option>
    <option>Single-family</option>
    <option>Condo</option>
    <option>Townhouse</option>
    <option>Multi-family</option>
    <option>Land</option>
    <option>Other</option>
  </select>
  <label for="bedrooms">Bedrooms</label>
  <select id="bedrooms" name="bedrooms">
    <option value="">Choose…</option>
    <option>Studio</option>
    <option>1</option>
    <option>2</option>
    <option>3</option>
    <option>4</option>
    <option>5+</option>
  </select>
  <label for="timeline">When are you thinking of listing? *</label>
  <select id="timeline" name="timeline" required>
    <option value="">Choose…</option>
    <option>ASAP</option>
    <option>1–3 months</option>
    <option>3–6 months</option>
    <option>6–12 months</option>
    <option>Just curious</option>
  </select>
  <label for="notes">Recent renovations / features</label>
  <textarea id="notes" name="notes" placeholder="New kitchen 2024, finished basement, etc."></textarea>

  <!-- honeypot — bots fill every field -->
  <input type="checkbox" name="botcheck" style="display:none" tabindex="-1" autocomplete="off">

  <button type="submit">Send</button>
</form>

<p style="margin-top:12px;font-size:11px;color:#888;text-align:right">
  Powered by <a href="https://splitforms.com" style="color:#888;text-decoration:none" target="_blank" rel="noopener">splitforms</a>
</p>

02JavaScriptform.js69 lines

<form id="lf-form">
  <label for="name">Full name *</label>
  <input id="name" type="text" name="name" placeholder="Sasha Vorona" required>
  <label for="email">Email *</label>
  <input id="email" type="email" name="email" placeholder="sasha@example.com" required>
  <label for="phone">Phone *</label>
  <input id="phone" type="tel" name="phone" placeholder="+1 555 0142" required>
  <label for="address">Property address *</label>
  <input id="address" type="text" name="address" placeholder="1247 Valencia St, San Francisco" required>
  <label for="type">Property type *</label>
  <select id="type" name="type" required>
    <option value="">Choose…</option>
    <option>Single-family</option>
    <option>Condo</option>
    <option>Townhouse</option>
    <option>Multi-family</option>
    <option>Land</option>
    <option>Other</option>
  </select>
  <label for="bedrooms">Bedrooms</label>
  <select id="bedrooms" name="bedrooms">
    <option value="">Choose…</option>
    <option>Studio</option>
    <option>1</option>
    <option>2</option>
    <option>3</option>
    <option>4</option>
    <option>5+</option>
  </select>
  <label for="timeline">When are you thinking of listing? *</label>
  <select id="timeline" name="timeline" required>
    <option value="">Choose…</option>
    <option>ASAP</option>
    <option>1–3 months</option>
    <option>3–6 months</option>
    <option>6–12 months</option>
    <option>Just curious</option>
  </select>
  <label for="notes">Recent renovations / features</label>
  <textarea id="notes" name="notes" placeholder="New kitchen 2024, finished basement, etc."></textarea>
  <button type="submit">Send</button>
</form>

<p style="margin-top:12px;font-size:11px;color:#888;text-align:right">
  Powered by <a href="https://splitforms.com" style="color:#888;text-decoration:none" target="_blank" rel="noopener">splitforms</a>
</p>

<script>
  document.getElementById('lf-form').addEventListener('submit', async (e) => {
    e.preventDefault();
    const data = new FormData(e.target);
    data.set('access_key', 'YOUR_ACCESS_KEY');
    data.set('subject', 'New home valuation lead');

    const res = await fetch('https://splitforms.com/api/submit', {
      method: 'POST',
      body: data,
      headers: { Accept: 'application/json' },
    });

    const json = await res.json();
    if (json.success) {
      e.target.reset();
      alert('Sent!');
    } else {
      alert('Error: ' + (json.message || 'Try again'));
    }
  });
</script>

03React / Next.jsForm.tsx84 lines

'use client';

import { useState, type FormEvent } from 'react';

export default function RealEstateSellerForm() {
  const [status, setStatus] = useState<'idle' | 'sending' | 'sent' | 'error'>('idle');

  async function onSubmit(e: FormEvent<HTMLFormElement>) {
    e.preventDefault();
    setStatus('sending');

    const data = new FormData(e.currentTarget);
    data.set('access_key', 'YOUR_ACCESS_KEY');
    data.set('subject', 'New home valuation lead');

    const res = await fetch('https://splitforms.com/api/submit', {
      method: 'POST',
      body: data,
      headers: { Accept: 'application/json' },
    });

    const json = await res.json();
    setStatus(json.success ? 'sent' : 'error');
    if (json.success) e.currentTarget.reset();
  }

  if (status === 'sent') return <p>Thanks — we&rsquo;ll be in touch.</p>;

  return (
    <>
    <form onSubmit={onSubmit}>
      <label htmlFor="name">Full name *</label>
      <input id="name" type="text" name="name" placeholder="Sasha Vorona" required />
      <label htmlFor="email">Email *</label>
      <input id="email" type="email" name="email" placeholder="sasha@example.com" required />
      <label htmlFor="phone">Phone *</label>
      <input id="phone" type="tel" name="phone" placeholder="+1 555 0142" required />
      <label htmlFor="address">Property address *</label>
      <input id="address" type="text" name="address" placeholder="1247 Valencia St, San Francisco" required />
      <label htmlFor="type">Property type *</label>
      <select id="type" name="type" required>
        <option value="">Choose…</option>
        <option>Single-family</option>
        <option>Condo</option>
        <option>Townhouse</option>
        <option>Multi-family</option>
        <option>Land</option>
        <option>Other</option>
      </select>
      <label htmlFor="bedrooms">Bedrooms</label>
      <select id="bedrooms" name="bedrooms">
        <option value="">Choose…</option>
        <option>Studio</option>
        <option>1</option>
        <option>2</option>
        <option>3</option>
        <option>4</option>
        <option>5+</option>
      </select>
      <label htmlFor="timeline">When are you thinking of listing? *</label>
      <select id="timeline" name="timeline" required>
        <option value="">Choose…</option>
        <option>ASAP</option>
        <option>1–3 months</option>
        <option>3–6 months</option>
        <option>6–12 months</option>
        <option>Just curious</option>
      </select>
      <label htmlFor="notes">Recent renovations / features</label>
      <textarea id="notes" name="notes" placeholder="New kitchen 2024, finished basement, etc." />

      <button type="submit" disabled={status === 'sending'}>
        {status === 'sending' ? 'Sending…' : 'Send'}
      </button>

      {status === 'error' && <p>Something went wrong. Try again.</p>}
    </form>

      <p style={{ marginTop: 12, fontSize: 11, color: '#888', textAlign: 'right' }}>
        Powered by <a href="https://splitforms.com" target="_blank" rel="noopener" style={{ color: '#888', textDecoration: 'none' }}>splitforms</a>
      </p>
    </>
  );
}

04PHPsubmit.php28 lines

<?php
// Drop into a PHP page. Receives a form POST and proxies it to splitforms.com.
// Useful when you want to add server-side validation or rate limiting.

if ($_SERVER['REQUEST_METHOD'] === 'POST') {
    $allowed = ['name', 'email', 'phone', 'address', 'type', 'bedrooms', 'timeline', 'notes'];
    $payload = ['access_key' => 'YOUR_ACCESS_KEY'];
    $payload['subject'] = 'New home valuation lead';

    foreach ($allowed as $f) {
        if (isset($_POST[$f])) $payload[$f] = $_POST[$f];
    }

    $ch = curl_init('https://splitforms.com/api/submit');
    curl_setopt($ch, CURLOPT_POST, true);
    curl_setopt($ch, CURLOPT_POSTFIELDS, http_build_query($payload));
    curl_setopt($ch, CURLOPT_RETURNTRANSFER, true);
    curl_setopt($ch, CURLOPT_HTTPHEADER, ['Accept: application/json']);
    $response = curl_exec($ch);
    $status   = curl_getinfo($ch, CURLINFO_HTTP_CODE);
    curl_close($ch);

    header('Content-Type: application/json');
    http_response_code($status);
    echo $response;
    exit;
}
?>

05cURLtest.sh12 lines

curl -X POST https://splitforms.com/api/submit \
  -H "Accept: application/json" \
  -d "access_key=YOUR_ACCESS_KEY" \
  -d "subject=New home valuation lead" \
  -d "name=Jane Builder" \
  -d "email=jane@example.com" \
  -d "phone=+15555555555" \
  -d "address=Jane Builder" \
  -d "type=Single-family" \
  -d "bedrooms=Studio" \
  -d "timeline=ASAP" \
  -d "notes=Hello from cURL"

Replace YOUR_ACCESS_KEY with the key from your dashboard. That’s the only edit.

§ 04bUse this template with…17 frameworks · same backend

One template. Every framework.

The same field set works on every framework splitforms supports. HTML, React, Next.js, Vue, Astro, Hugo, WordPress — same POST, same backend.

§ 06FAQ4 answered

Things people ask before they ship.

Direct answers, no marketing fluff. Missing one? Email hello@splitforms.com.

01Should I show an instant valuation or capture the lead first?

Capture first. Instant Zestimate-style valuations satisfy curiosity and the lead disappears. A 'we'll send your valuation' funnel forces follow-up by phone or email, where you actually have a chance to land the listing appointment.

02What if the seller is just price-shopping?

Most are. The timeline field separates them — 'thinking about it' goes into a 6-month nurture; '0-3 months' gets a same-day call. Both are leads worth capturing, just on different cadences.

03Can I add an address autocomplete?

Yes — wire up Google Places Autocomplete on the address field client-side. The submission to splitforms is unchanged. We have a recipe in the docs for the JS snippet.

04What's the typical conversion rate on this funnel?

Industry benchmarks for 'what's your home worth' landing pages run 8-15% form-fill rate from PPC traffic, vs 1-3% on a generic contact form. The intent is far higher.

✻ ✻ ✻

Ship your home valuation form (seller lead capture) in 60 seconds.

1,000 free submissions per month. No credit card. Copy the snippet, paste your access key, watch leads land in your inbox.

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v0.1 · founders pricing locked in · early access open