List Price

What is the price at which you would like to list your home?

Listing and Marketing Date?

What day would you like your home to go on the market and be made available for showings?

Showing Restrictions

Are there any showing restrictions you want us to set up with Centralized Showing Services?  Examples of such restrictions would be:  no showings after/before “XX” hour, no showings allowed during children's nap time at “XX” hours, must have 1 hour notice before a showing etc.  If so, please explain below.

1st (Primary) Mortgage Information

In the space below, please enter the name of your mortgage company, your loan number, contact number and approximate balance in the area below.  If you do not have a mortgage, enter "none".

2nd (Secondary) Mortgage / Equity Line Information

If you have one, please enter the name of your secondary mortgage company, your loan number, contact number and approximate balance in the area below.  If you do not have a second mortgage, enter "none".

Additional Liens on the Home - Part 1

Other than your 1st and/or 2nd mortgage, are there currently any additional liens on the home?

Additional Liens on the Home - Part 2

If your answer to the previous questions was "yes", please explain below.

Bankruptcy - Part 1

Are you currently under bankruptcy protection or are you considering filing for bankruptcy?

Bankruptcy - Part 2

If your answer to the previous questions was "yes", please explain in the space provided below.

Homeowners Association Information (HOA) Information #1

In the space below, please provide the name of your HOA management company and their primary contact / telephone number.  If you do not have an HOA, please enter "none".

HOA Dues #1

How often are your HOA dues paid?

HOA Cost #1

What is the cost of your primary HOA?

Homeowners Association Information (HOA) Information #2

If you happen to belong to a second HOA, please provide the name of your HOA management company and their primary contact / telephone number.

HOA Dues #2

How often are your HOA dues paid?

HOA Cost #2

What is the cost of your secondary HOA?

Fixtures - Part 1

Are there any fixtures that you intend to take with you when you sell the home?  A fixture is defined as anything that is physically attached to the home such as:  light fixtures, mirrors, curtain rods, TV wall-mounts (but not the TV itself) etc.  

Fixtures - Part 2

If your answer was "yes" to the question above, please list what fixtures you intend on taking with you when you move.

Personal Property - Part 1

Is there any personal property you intend to sell with the home?  Refrigerators, washers, dryers and play sets are examples of personal property.  ***We usually advise our clients not include personal property up front in order to maintain bargaining power during negotiation.

Personal Property - Part 2

If your answer was "yes" to the question above, please list what personal property you intend to leave with the home when it sells.

Termite Service - Part 1

Do you currently maintain termite (not pest, but termite) service on your home?

Termite Service - Part 2

If your answer to the previous question was "yes", what is the name of the termite company you use?

Termite Service - Part 3

If yes, do you have a termite bond (warranty) as part of your termite service contract?

Existing Survey

Do you have a copy of a survey for your current home?  If so, please check below and provide to us at your earliest convenience.    

Prior Title Insurance Company

Please enter the name of your prior title insurance company in the space provided.  This information is usually located with your closing documentation from when you purchased your home.  If this information is not available, please indicate this below.

Residential Property Disclosure - Part 1

In NC, it is required that sellers complete a property and HOA disclosure. Please navigate to the following url: https://drive.google.com/file/d/1UL4-9nAW507Fbc1QJHdH-JLBISWAJXwA/view to view the Residential Property and Owners’ Association Disclosure.  On pages 2-3 of this form, would you answer “yes” to any of the questions numbered 1-31?

Residential Property Disclosure - Part 2

If you checked yes to the previous question, please explain what question(s) numbered 1-31 on the disclosure statement you would answer yes to and why.

Roof

Please let us know what year your roof was installed.  

Hot Water Tank Count

Please let us know how many hot water tanks you have.

Hot Water Tank Type*

Please let us know the type of hot water tanks you have.

Hot Water Tank Location(s)

Please let us know the type of hot water tanks you have.

Hot Water Tank Fuel Source

Please let us what fuel source powers your hot water tank.

Heating and Air Conditioning (HVAC)

Please let us know how many HVAC systems you have in the home.  Normally, each floor of a home is serviced by separate HVAC system.

HVAC Types

Please let us know more about the type of HVAC systems servicing your home.  If other, please email us the appropriate information.  

HVAC System Age(s)

Please let us know the age of your HVAC systems - system 1, system 2 etc.  

Fuel Sources

What type of fuel sources power your home?  If other, please email us the appropriate information.  

Fuel Tanks

Are there any fuel tanks located on the property?

Fuel Tank Information

If yes to the question above, please let us know if the tank(s) are buried or above ground, who owns the tanks, the type of fuel in each tank, the fuel vendors name and contact information and the refilling schedule for each tank.

Water Pipe Information*

What type of water pipes are used in your home?

Sewer System

What type of sewage system does your home have?

Septic System Type

If your home is serviced by an on site septic system, how many bedrooms is the septic system approved for?   

Septic System Bedroom Allowance

If your home is serviced by an on site septic system, how many bedrooms is the septic system approved for?

Water Source

What type of water service does your home have?  If other, please email us with the details.

Mineral and Gas Rights

Have you severed / sold off your mineral and/or gas rights to the land beneath your property (think fracking)?  Are you aware of this being done any prior owner of the home?  

Additional Pertinent Information

Is there anything else you may want to share with us pertaining the home?  This might include such things as interior or exterior upgrades, home additions, permitting, past insurance claims etc.  Please feel free to share anything you feel might be pertinent to the home that we should know about.  

You are DONE!

Congratulations, you have reached the last question on this form. Please note that you WILL NOT have the ability to make any modifications once you hit submit.  Are you sure that you have completed all the necessary questions on this form and are ready to submit?