Property and Contact Information

1

Owners Full Name: 

 *

Owners Full Name:

2

Property Address:

 *

Property Address:

3

Year Built:

 *

Year Built:

4

Parcel Number: (Click here to look up your address's number)

Parcel Number: (Click here to look up your address's number)

5

Phone Number:

 *

ext.Phone Number:

6

Email:

 *

Email:

Heating

7

Heating:

Heating:

Forced Air

Gravity

Hot Water

Electric

Geo-Thermal

Other (Please Specify)

Cooling:

8

Central Air:

Central Air:

Yes

No

Fireplace - Count of Each:

9

Gas:

Gas:

10

Wood Burning:

Wood Burning:

Total Bedroom Count

11

Basement Bedrooms: 

Basement Bedrooms:

12

Main Floor and Above Ground Bedrooms:

Main Floor and Above Ground Bedrooms:

Plumbing - (Full = toilet, tub, & sink)

13

# of Full Bathrooms (Tub, Toilet, Sink)

# of Full Bathrooms (Tub, Toilet, Sink)

14

# of  3/4 Bathrooms (Shower, Toilet, Sink)

# of 3/4 Bathrooms (Shower, Toilet, Sink)

15

# of  1/2 Bathrooms (Toilet & Sink)

# of 1/2 Bathrooms (Toilet & Sink)

16

Fiberglass Service Sink

Fiberglass Service Sink

17

Whirlpool (Separate Tub & Shower)

Whirlpool (Separate Tub & Shower)

18

Dual Sink Vanity

Dual Sink Vanity

19

Other Plumbing Features (Please Specify)

Other Plumbing Features (Please Specify)

Interior Finish

20

Type of Wall:

Type of Wall:

Drywall

Panel

Plaster

Other (Please Specify)

Flooring

21

Type of Flooring Materials:

Type of Flooring Materials:

Carpet

Vinyl

Hardwood

Other (Please Specify)

Basement Finish

22

% of Basement that is fully finished: 

% of Basement that is fully finished:

23

Does basement finish resemble above-ground finish?

Does basement finish resemble above-ground finish?

Yes

No

Additional Comments

24

Is there anything you would like to add?

Is there anything you would like to add?

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