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Full Name
First Name
Last Name
Today's Date
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Month
-
Day
Year
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Exterior Features
Exterior House Material:
Please Select
Brick Veneer
Brick Veneer and Stone
Brick Veneer and Rock
Stucco
Wood Siding
Hardi Siding
Aluminum Siding
Siding
Other
Foundation Type:
Please Select
Concrete Slab
Pier and Beam
Basement Style Home
Portion concrete slab, portion pier and beam
other
Water:
Please Select
City
Private Well
Co-op
Other
Natural Gas:
Please Select
No
Yes
Propane
Electric
Please Select
Yes
Currently turned off
Sewer:
Please Select
Public
None
Aerobic septic
Conventional septic
Lot Shape
Please Select
Rectangular
Slightly Irregular
Irregular
Triangular
Wedge / Cul De Sac
Wedge
Other
Lot Terrain
Please Select
Few trees, level terrain
Areas of trees, level terrain
wooded, level terrain
Few native trees, leveling to rolling
Few native trees, rolling
wooded, level to rolling
wooded, rolling
areas of native trees, level to rolling
areas of native trees, rolling
other
Alley
Please Select
None
1 car concrete
1 car dirt
1 car asphalt
1 car gravel
Drive Car width where drive meets the street?
Please Select
0
1
2
3
4
5
Drive Surface where drive meets the street?
Please Select
Concrete
Asphalt
Gravel
Aggregate
Dirt
Brick
Other
Gutters:
Please Select
None
Aluminum
Aluminum with French drains
Plastic
Steel
Copper
Other
Roof Material
Please Select
Composition/ Asphalt Shingle
Steel Tile
Steel Sheet
copper
Tile
Wood shingle
Composite shingle
Plastic shingle
Roll Composition asphalt sheets
Aluminum sheet
other
Window Type:
Please Select
Single Hung Aluminum Thermo-pane
Single Hung Aluminum Single pane
Single Hung Wood Single Pane
Double Hung Aluminum Thermo-pane
Single Hung Vinyl Thermo-pane
Double Hung Vinyl Thermo-pane
Single Hung Wood single pane
Double Hung wood single pane
Double Hung wood Thermo-pane
Storm coverings
other
Window Screens:
Please Select
None
Aluminum
Vinyl
other
Exterior Fence
Please Select
None
Wood
Chain metal
Sheet Metal
Pipe metal
Wrought Iron
Vinyl
Brick
Stucco
Concrete
Other
Central AC:
Please Select
Yes Central Air
Window units only
Central Air and window units
none
Central Heat
Please Select
Central Electric
Central Gas
Wall Furnace - gas
Propane heaters
None
Other
Fireplace Count
Please Select
0
1
2
3
4
5
6
Sprinkler System
yes
no
aerobic septic
traditional sprinkler and aerobic septic
Pool
Please Select
In ground Gunite pool under 8' deep
In ground Gunite pool over 6' deep
None
Above ground
Spa
Please Select
Attached to pool, in ground Gunite
Attached to pool, above ground Gunite
None
Free standing above ground
Any signs of property settlement?
Please Select
Yes
No
Unknown
Exterior Features:
concrete walk
rock walk
landscaped
exterior lighting
wood deck
outdoor kitchen
outdoor fireplace
arbor/ gazebo
carport
storage building on concrete slab
Other
Condition of Property Exterior:
Please Select
Good
Good to Average
Average
Average to poor
Poor
Poor to fair
Fair
Interior Features
Bath Updating
Please Select
less than one year
1-5 years
5-10 years
more than 10 years
unknown
Bath Floor Coverings
carpet
ceramic tile
hardwood
concrete
laminate
vinyl
marble
cork
subfloor exposed
travertine
Other
Non - Bath Floor Coverings
carpet
ceramic tile
hardwood
concrete
laminate
vinyl
marble
cork
subfloor exposed
travertine
Other
Shower/ tub surround
Please Select
Ceramic tile
fiberglass
Vinyl
Marble
Travertine
Glass tile
other
Interior walls
Dry wall
wood panel
plaster
Dry wall and wood paneling
Other
Interior Trim/ molding:
Please Select
wood
composite
other
Attic Access:
Please Select
pull down ladder
scuttle
full staircase
full size door on same level as attic
half size door on same level as attic
other
Kitchen Updating
Please Select
less than one year
1-5 years
5-10 years
more than 10 years
unknown
Kitchen Features:
Oven Range
Microwave
Dish washer
garbage disposal
trash compactor
solid stone counters
stainless appliances
updated cabinets
tile backsplash
sub zero style fridge
two sinks
farm style sink
wine firdge
Other
Security System
Yes
No
Yes - extensive
Condition of Property Interior:
Please Select
Good
Good to Average
Average
Average to poor
Poor
Poor to fair
Fair
Interior Features:
raised ceilings
decorative molding
separate garden tub/shower
separate jetted tub/shower
built in shelving
wet bar
sink in laundry
updated interior paint
updated texture
updated electrical
updated plumbing fixtures
solid stone type counters in baths
Other
Utilities:
On
Off
Property HOA dues - Amount:
List the Estimated Cost of Improvements to the property
Submit
Should be Empty: