Form Center

2. TODAY'S DATE
   TODAY'S DATE
3. Parcel ID#(If known)
5. Property Owner
6. Completed by(if not property owner)
8. Physical Property Address
10. City
11. State
12. Zip
14. Phone Number
15. Email Address
17. VERIFY THE FOLLOWING
19. LAND DETAIL
    Total Deeded Acre
20. LAND DETAIL
    Tillable Acres
21. LAND IN A PROGRAM
    Crep, Crp, Rim or Other
23. RESIDENTIAL
    Year built/additions
25. Foundation

    1. Brick
    2. Concrete-block

    1. Concrete-poured
    2. Stone

    1. Slab
    2. Other
27. STYLE

    1. 1 Story

    1. 1.5 Story

    1. 2 Story

    1. Split Entry
29. BASEMENT

    1. Full

    1. Partial

    1. Crawl

    1. Slab
31. HEATING SOURCE

    1. Forced Air

    1. Hot Water

    1. Electric

    1. In Floor Hear
33. COOLING

    1. Central Air

    1. No Central AIr
35. BEDROOMS MAIN LEVEL
36. BEDROOMS LOWER LEVEL
37. BEDROOMS UPPER/2ND LEVEL
39. FLOORING TYPES
41. BATHROOM INFORMATION
43. Full Bathroom

    1. 1
    2. 2
    3. 3
    4. 4+
44. 3/4 Bathroom

    1. 1
    2. 2
    3. 3
    4. 4+
45. 1/2 Bathroom

    1. 1
    2. 2
    3. 3
    4. 4+
46. Bathroom Details
48. INTERIOR WALLS

    1. Plaster

    1. Drywall

    1. Paneling

    1. Other
50. BASEMENT FINISH

    1. Fully Finished

    1. 3/4 Finished

    1. 1/2 Finished

    1. No Finish
52. BASEMENT FINISH DESCRIPTION
54. EXTERIOR SIDING
56. EXTERIOR AMENITIES

    1. Deck
    2. Porches
    3. Patio

    1. Fence
    2. Driveway-conc/asp
57. Describe Amenities
59. GARAGE*

    1. Attached
    2. Heated
    3. Detached
    4. Heated
    5. No Garage
61. OVERALL CONDITION
63. Have there been any updates in the past 10 years

    1. Kitchen update
    2. Bathroom update
    3. Basement Finish
    4. Electric/Plumbing
    5. Garage
    6. Addition
64. Describe Updates
66. Are there any deficiencies we should be aware?

    1. Foundation
    2. Roof

    1. Windows
    2. Interior
67. Describe Deficiencies
69. In your opinion, what is the overall condition of your home?

    1. Normal for age
    2. Below Normal for age
    3. Above Normal for age
71. Outbuildings Type, Size & Amenities
73. Question / Comment or further information you would like us to know.
Leave This Blank:


75. 1. Receive an email copy of this form.
76. Email address

    This field is not part of the form submission.

77. Submit

* indicates a required field