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2. First Name (Or Business Name / LLC)*
3. Last Name (N/A If Business / LLC)*
5. Phone Number
6. Email Address*
8. Information provided will only be used to contact you in the event clarification is needed. Information provided will not be shared or used for any other purpose.
10. Property Address*
12. Zip Code
14. Is this home occupied by the owner?

    1. Yes
    2. No
16. Is this home a rental?

    1. Yes
    2. No
18. Foundation Type

    1. Slab on ground
    2. Crawl
    3. Basement
19. Is the basement finished?

    1. Yes
    2. No
20. Square feet finished or % finished
22. Finish Quality

    1. Living Quality
    2. Recreational Quality
24. "Living Quality" would be finished to the same quality as the upstairs. "Recreational Quality" would be lower quality than the main living area above ground.
26. Please provide the flooring type for the following rooms:
28. Kitchen
    -- Select One --LinoleumCarpetedHardwoodTileCeramic TileVinylSoftwoodPlywoodParquetSlate/StoneMarbleLaminatePergoConcrete
29. Bathroom
    -- Select One --LinoleumCarpetedHardwoodTileCeramic TileVinylSoftwoodPlywoodParquetSlate/StoneMarbleLaminatePergo Concrete
30. Living Room
    -- Select One --LinoleumCarpetedHardwoodTileCeramic TileVinylSoftwoodPlywoodParquetSlate/StoneMarbleLaminatePergoConcrete
32. Heating System

    1. Forced Air
    2. Forced Air with Air Conditioning
    3. Hot Water
    4. Central Air (Separate Ducts)
    5. Electric Baseboard
    6. Space Heater
    7. Radiant Heat (in floor)
34. Kitchen Built-in Items

    1. Dishwasher
    2. Cooktop
    3. Wall oven
    4. Microwave
    5. Garbage disposal
    6. Remodeled in the last 15 years
    7. Other
36. Number of Full Bathrooms (tub/shower, sink, & toilet)
37. How many full bathrooms remodeled during the last 15 years?
39. Number of half bathrooms (sink & toilet only)
40. How many half bathrooms remodeled during the last 15 years?
42. Number of extra sinks (2nd in bathroom, garage, laundry)
43. Number of separate showers
44. Number of jacuzzi tubs
46. Number of Garage Spaces
    -- Select One --1234Other
47. Garage

    1. Attached
    2. Detached
48. Garage Interior Finished? (Walls/Ceiling are drywall or paneling)

    1. Yes
    2. No
50. Number of separate stack fireplaces
51. Number of same stack fireplaces
52. Fireplace

    1. Gas
    2. Wood Burning
54. Porches - Number of uncovered porches
55. Porches - Number of covered porches
57. Porches - Number of enclosed porches
59. Number of Decks
60. Deck Material

    1. Composite
    2. Wood
    3. Vinyl
62. Yard Improvements

    1. Pool
    2. Shed
    3. Other
64. Is there anything else about your property we should know? Please list any improvements made to the property in the last five years. For example, new porch, new roof, new windows, flooring, and the like.
66. Would it be OK for us to double check the outside measurements and update our photos while in your neighborhood?
    -- Select One --YesNo
67. How did you hear about the online property form?*
    -- Select One --Received Data Verification QuestionnaireEmail BlastSewer Bill Insert Tax Bill InsertOther
Leave This Blank:


69. 1. Receive an email copy of this form.
70. Email address

    This field is not part of the form submission.

71. Submit

* indicates a required field