Order Date

Name of the Subdivision your home is in?

Property Address

Property Zip Code

Approximate Square Footage

Number of Bedrooms, (Rooms with a closet and two exits, window and door or 2 doors)

Number of Full Baths (sink, shower, tub, toilet)

Number of 3/4 Bathrooms: (sink, shower, toilet)

Number of 1/2 bathrooms (sink, toilet)

Do you have a Pool, if "Yes" what type?

Do you have a fireplace?

Garage Spaces (1 car, 2 car, 3 car...)?

Condition of home? (updated, custom, exceptional...)

Please tell me about the any facts that could affect the marketable of your home (favorable & unfavorable)

Year the home was built?

Builder if known?

How long have you owned the home?

Please provide the following contact information:

Tell me how to get in touch with you:

Name     
E-mail   
Work Ph  
Home Ph  
Fax