TEXT VERSION OF SELLERS FORM
Please print this Form and fax or mail it to:
DEREK KIRK
9129 Elk Grove Boulevard
Elk Grove, CA 95624
FAX:(916) 483-1803
Please fill out all the necessary data below, so Derek Kirk can provide you with the accurate information you need.
Last Name:______________________________________________________
Street Address:___________________________________________________
City:__________________________ State:___________ Zip:______________
Day Phone:____________________ Evening Phone:_____________________
Fax:______________________ E-mail:________________________________
First Name:______________________________________________________
City:__________________________ State:____________ Zip:_____________
Year Built:____________ Builder:____________________________________
Stories:______ Sq. Ft.:______________ #Bedrooms:______ #Bathrooms_____
| HEAT:(select up to 4) ____ Central Heat ____ Electric Heat ____ Fireplace Insert ____ Floor Furnace ____ Heat Pump ____ Multi-Units ____ Natural Gas ____ Pellet Stove ____ Perimeter/Baseboard ____ Propane Heat ____ Propane Stove ____ Radiant ____ Solar/Partial ____ Wall Furnace ____ Wood Stove ____ Other |
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
ENERGY FEATURES |
AIR:(select up to 3) ____ Attic Fan ____ Central A/C ____ Evaporative Cooler ____ Heat Pump ____ Multi-Units ____ No A/C ____ Refrig Wall Unit ____ Whole House Fan ____ Window A/C
#FIREPLACES ____ |
| APPROX. ACREAGE ____ Under .10 ____ .11 - .19 ____ .20 - .29 ____ .30 - .39 ____ .40 - .49 ____ .50+ |
____ 2 Houses on lot ____ Condo/PUD ____ CO-OP ____ MOD/MANUF ____ Halfplex ____ Mobile Home |
____ Corner lot ____ cul-de-sac ____ Dead End ____ Golf Course ____ Greenbelt ____ Waterfront ____ Other |
____ Brick Veneer ____ Shingle ____ Siding-Lap ____ Siding-Metal ____ Siding-Vinyl ____ Stone ____ Stucco ____ Wood ____ Other |
____ Flat/Low Pitch ____ Metal ____ Rock ____ Shake ____ Skylight ____ Slate ____ Tar & Gravel ____ Tile ____ Wood Shingle |
____ Not on Foundation ____ Raised Foundation |
____ NO
____ Boat Storage ____ Plane Port ____ RV Access ____ RV Possible ____ RV Restrictions ____ RV Storage
____ Guesthouse ____ Tool Shed ____ Workshop ____ Out Building |
____ Yes ____ No
____ 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 |
____ Auto Sprinkler Front ____ Auto Sprinkler Rear ____ Sprinkler Front ____ Sprinkler Rear ____ F&R Sprinkler ____ Back Landscaped ____ Front Landscaped ____ Dog Run ____ Fenced Back ____ Fenced Front ____ Maintenance Provided |
____ Deck(s) ____ Electric Gate ____ Enclosed Patio ____ Gated Community ____ Gazebo ____ Patio ____ Public Transport ____ Security ____ Security Sys Leased ____ Security Sys Owned ____ Underground Tank-CLA ____ Window Furnishings ____ Wet Bar |
SCHOOL DISTRICT_____________________________
OVERALL CONDITION?
LOOKING TO BUY? RENT? OR RELOCATE? |
WEBMASTER - Armstrong Creations
Web site modified on November 2004
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