Property Information

* First Name

* Last Name

* Email

Phone

Address

Zip

Have you made any claims on your Homeowners Insurance Policy?

If YES, please describe:

Do you carry Flood Insurance on your property?

Do you have unpermitted improvements?

If Yes, Please describe:

Security System:

Do you have a security system?

If Yes to a security system:

Will the system be on during showings?

Do you own the system?

If U/C can it be cancelled at any time?

Keypad Location:

Monitoring:

Months Left:

Annual Termite Warranty/Bond

Annual Termite Warranty/Bond?

Cost:

Company:

Mechanical Systems:

Water Heater:

Water Heater Age:

Age of Heat: (1st Floor, 2nd Floor, 3rd Floor, Basement)

Fuel Type:

Age of Cooling System: (1st Floor, 2nd Floor, 3rd Floor, Basement)

Private Septic

Last Pumped on:

Location of Septic:

Private Well:

Well - Gallons Per minute:

Location of Well:

Utilities & Services:

Provider:

Electric:

Electric Average Monthly Cost:

Gas:

Gas Monthly Cost:

Water:

Water Monthly Cost:

Sewer:

Sewer Monthly Cost:

Recycling Day:

Garbage Day:

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Property Information

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