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Property Information
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Info Taken By
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Your answer
Owner Contact Information
Owners Name
*
Your answer
Phone Number
*
Your answer
Work Number
Your answer
Cell Number
Your answer
Email Adress
Your answer
Property Information
Property Address
*
Your answer
Property City
*
Your answer
Property State
*
Your answer
Property Zip
Your answer
Type of home
*
Choose
Single Family
Condo
Town House
Duplex
Triplex
Quad
5+ Apartment
Mobile home in a park
Mobile home w/land
Commercial
Construction type
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Frame
Siding
Brick
Block
Modular
Mobile
Other
Home Style
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Choose
Ranch
1 1/2 Story
2 Story
Cape Cod
Colonial
2 1/2 stories
Other
What is the square footage?
Your answer
What is the lot size?
Your answer
When was home built
Your answer
How long have you owned the home
Your answer
How many bedrooms?
*
1
2
3
4
5
Bedrooms
1
2
3
4
5
Bedrooms
How many bathrooms?
*
1
1.5
2
2.5
3
Bathrooms
1
1.5
2
2.5
3
Bathrooms
Is there a garage?
*
If so, how many car?
Choose
None
Driveway
Carport
1 Car
2 Car
3 Car
4 Car
5+ Car
Type of Heat
Electric
Gas
Water
Propane
Solar
Other:
Central Air
Yes
No
Central Air
Yes
No
Central Air
Clear selection
Window Air
Yes
No
Window Air
Yes
No
Window Air
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Is there a fireplace?
Yes
No
Fireplace
Yes
No
Fireplace
Clear selection
Type of Roof
Shingle
Slate
Other
Roof
Shingle
Slate
Other
Roof
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Age of Roof
Your answer
Is there a pool?
Yes
No
Pool
Yes
No
Pool
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Is there a pool heater?
If there is a pool.
Yes
No
Pool heater
Yes
No
Pool heater
Clear selection
Is there a lanai?
Lanai is a screen room.
Yes
No
Lanai
Yes
No
Lanai
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Is there a spa?
Hot tub, Jacuzzi, Spa, etc.
Yes
No
Spa
Yes
No
Spa
Clear selection
Is there irrigation?
Yes
No
Irrigation
Yes
No
Irrigation
Clear selection
Is there a boat lift?
Yes
No
Boat lift
Yes
No
Boat lift
Clear selection
Is there a boat dock?
Yes
No
Dock
Yes
No
Dock
Clear selection
Are there any issues with Chinese Drywall?
Yes
No
Chinese Drywall
Yes
No
Chinese Drywall
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Are there any mold issues?
Yes
No
Mold
Yes
No
Mold
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Has home been treated for termites?
Yes
No
Termites
Yes
No
Termites
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Is there a well
Yes
No
Well
Yes
No
Well
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Public Water
Yes
No
Water
Yes
No
Water
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Sewer Type
Public
Septic
Sewer
Public
Septic
Sewer
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Appliances included
Yes
No
Refrigerator
Range
Microwave
Dishwasher
Washer/Dryer
Yes
No
Refrigerator
Range
Microwave
Dishwasher
Washer/Dryer
Clear selection
Is the property listed with an agent
*
Yes
No
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