Contact Name

Address *

City *

Province or State *

Zip Code *

Phone *

Alternative Phone

E-Mail:

Type of Property-------One StoryTwo StoryTownhome Condo

Outer Buildings for Storage, etc

Name of Subdivision

School District

Bedrooms----12345678

Baths----1 1.5  2  2.5  3  3.5  44.5 5

Please place a check mark next to applicable choices concerning other living areas in the house.

Living RoomGreat RoomDenSeparate Dining RoomKitchenLaundry Room

Breakfast nook in kitchenEnclosed Sun RoomBasement

Total # of Rooms in House

Type Flooring in Bedrooms

Type Flooring in Kitchen

Type Flooring in Living Areas

Additional Details  Ceiling Fans  Fireplace   Security Alarm   Swimming Pool   Hot Tub/Spa

Fenced back yard (wood)   Fenced back yard (chain link)

GarageCarport Detached Attached

Outer Construction------BrickAsbestos ShinglesVinyl Siding

                                           Cultured StoneStuccoCombination

Roofing Construction-------Asphalt ShinglesCedar Shingles (Wood)Tile Shingles

                                                                           GuttersLeaf guards on gutters

Air Conditioning-----Central Unit Window Units Gas Electric

Heating-------Electric Heat PumpGas FurnaceOil Furnace

Square Footage of Property

Listed Price *

Comments or Additional Information

 

 

 

 

 

 

 

Associate Name_______________________________ Code___________

If faxing to 1.888.284.1599 please include Authorization Form