FIRST NAME:

LAST NAME:

STREET:

CITY:

STATE:

ZIP CODE:

DAY PHONE: (Please include area code)

EVENING PHONE: (Please include area code)

FAX: (Please include area code)

E-MAIL:

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HOME SELLING INFORMATION

ADDRESS OF HOME TO BE SOLD

STREET:

CITY:

STATE:

ZIP CODE:

YEAR BUILT

BUILDER

STORIES 1 Story 2 Story 3 or more

APPROX. SQUARE FOOTAGE 500-1000 1100-1400 1500-1900 2000-2400 2500-3000 3100 or above

BEDROOMS 1 2 3 4 5 6 7 or more

BATHROOMS 1 1.5 2 3.5 4 or more

GARAGE STYLE 1 Car Attached 2 Car Attached 3+ Car Attached 1 Car Detached 2 Car Detached 3+ Car Detached 1 Car Carport 2+ Car carport Converted Garage No Garage

HEAT (select up to 4) Central Heat Electric Heat Fireplace Insert Floor Furnace Heat Pump Multi-Units Natural Gas Pellet Stove Propane Heat Propane Stove Solar/Partial Wall Furnace Wood Stove other

AIR (Select up to 4) Attic Fan Central A/C Evaporative Cooler Heat Pump Multi-Units No A/C Refrig Wall Unit Whole House Fan Window A/C

ENERGY FEATURES (select up to 5) Dual Pane Full Dual Pane Partial Ceiling Fan(s) Plumbed for Solar Solar Heating Solar Screens Storm Windows other

FIREPLACES 0 1 2 3+

FIREPLACE (Select up to 5) Circulating Double Sided In Family Room Gas Burning Log Insert In Living Room In Master Suite Piped Gas other

OTHER INTERIOR EXTRA'S

APPROX. ACREAGE Under .10 .11-.19 .20-.29 .30-.39 .40-.49 .50+

TYPE 1 House on Lot 2 Houses on Lot Condo/PUD CO-OP MOD/MANUF Halfplex Mobile Home

SITE LOCATION Borders Govt. Land Corner Lot Cul-de-sac Dead End Golf Course Greenbelt Waterfront other

HOME OWNER ASSOC. Yes No

EXTERIOR (select up to 3) Brick Brick Veneer Shingle Siding-Lap Siding-Metal Siding-Vinyl Stone Stucco Wood other

ROOF DESCRIPTION (select up to 3) Comp Shingle Flat/Low Pitch Metal Rock Shake Skylight Slate Tar & Gravel Tile Wood Shingle

FOUNDATION (select up to 2) Concrete Slab Not on Foundation Raised Foundation

RECREATIONAL PARKING (select up to 3) Boat Dock Boat Storage Plane Port RV Access RV Possible RV Restrictions RV Storage

POOL Yes No

IF YES, POOL TYPE (select up to 4) Above Ground Built-In Built-In SPA/Hot Tub Community Pool Fenced Gunite Construction Heated Lap Personal SPA/Hot Tub Sport Pool Vinyl Liner Solar Heated other

LANDSCAPE (select up to 5) Auto Sprinkler Front Auto Sprinkler Rear Sprinkler Front Sprinkler Rear Back Landscaped Front Landscaped Dog run Fenced Back Fenced Front Low Maintenance Maintenance .....Provided

MISCELLANEOUS (select up to 6) Covered Patio Deck(s) Electric Gate Enclosed Patio Gated Community Gazebo Patio Public Transport Security Sys Leased Security Sys Owned Underground Tank Window Furnishings Wet Bar

OTHER STRUCTURES (select up to 2) Greenhouse Guesthouse Tool Shed Workshop Out Building SCHOOL DISTRICT OVERALL CONDITION?

LOOKING TO BUY? RENT? OR RELOCATE?
BRIEF EXPLANATION

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BUYERS INFORMATION FORM

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