Personal Information:
Full Name

Phone Number

E-mail address


Property Information:
Property Address

City

One Month Three Months 6 Months Next Spring Next Fall I am thinking of moving within

Single Family Dwelling Semi-Detached Mobile (owned lot) Mobile (rented lot) Condo Duplex Home Type

Rancher Bi-Level 1 and 1/2 Storey 2 Storey 2 Storey Split 2 and 1/2 Storey 3 Level Split 4 Level Split 5 Level Split Apartment Townhouse Walk Out Home Style

Approx. Year Built

Approx. Square Footage Above Grade

Rectangle Corner Irregular Pie Shaped Lot

None Single Attached Double Attached Triple Attached Single Detached Double Detached Triple Detached Garage

None Single Concrete Drive Double Concrete Drive Gravel Drive Parking

Siding Brick Stone Stucco Exterior Finish

Asphalt Shingles Wood Shingles Shakes Tar & Gravel Metal Roof

Full Crawl Slab Partial Basement

Concrete Preserved Wood Block Indeterminable Basement Walls

No 25 % 50 % 75 % 90 % Completely Finished Basement Finish

Natural Gas Oil Electric Solar Heating

1 2 3 4 5 Number of Bedrooms (Above Grade)

1 1 and 1/2 2 2 and 1/2 3 3 and 1/2 4 4 and 1/2 5 5 and 1/2 Number of Bathrooms

Fixer Upper Average Good Excellent Home Condition

Home Features: (Check off all that apply)
BI Dishwasher Garburator Humidifier
Built in Vac Intercom Central Air Alarm System
Sauna Hot Tub Swimming Pool
Garage Door Opener Underground Sprinklers
Satellite Dish RV Parking

Included In Sale:(Check off all that apply)
Refrigerator Stove Microwave Dishwasher
Custom Drapes Washer Dryer Freezer
Window Air Conditioner Storage Shed

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