Pre-Listing Questionnaire

Pre-Listing Questionnaire

Please fill out this easy form to enable us to help us prepare for your listing.
Your Name*
Your Email Address*
Your Name(s) as on Title*
Which Agent are you primarily working with?*
Property Address*

Street Address

CityState / Province

Postal / Zip Code
Fee Simple / Ground Rent / (If you don't have ground rent, most likely fee simple)
Preferred List Price*
Who do you pay your mortgage to? *
What are the payoff amounts as of this month? Rounded to thousand is okay.*
Are there any loan modifications, forbearance, or other loans on home? If so, please specify.*
What items are included in the Sale of the property?

Alarm SystemBuilt in MicrowaveCeiling FansCentral VacuumClothes DryerClothes WasherCooktopDishwasherDrapery/Curtain RodsDraperies/CurtainsElectronic Air FilterExhaust FansExisting Wall to Wall CarpetFireplace Screen DoorsFreezerFurnace HumidifierGarage Openerswith remotesGarbage DisposalHot tub equipment and coverIntercomPlayground EquipmentPool, Equipment and CoverRefrigeratorwith ice makerSatellite DishScreensShades/BlindsStorage ShedStorm DoorsStorm WindowsStove RangeTV AntennaeTrash CompactorWall mount TV bracketsWall OvenWater FilterWater SoftenerWindow A/C UnitsWindow FansWood Stove
Additional Inclusions and/or Notes from Inclusions above:
Any specific Exclusions:
Any leased items (please specify and explain, e.g. Solar panels, fuel tanks, etc):
Electronics (please specify and explain any and all electronics currently present in your house, for example: smart thermostat, alarm system, ring doorbell, keypads, etc.) For every item, please specify whether or not it will be left and if so, how it works.
What year was your home built?
Age of Roof?
Age of HVAC?
Last HVAC Servicing?
Any Improvements made to the home in the last 4 Years?
Water Supply

PublicWell
Sewage Disposal

PublicSeptic
Heating

OilGasElectricHeat PumpOther
Hot Water

OilGasElectricOther
Air Conditioning

GasElectricOther
Is there anything wrong with the house? Any hidden defects, such as, but not limited to leaking pipes, roof, electric issues, or anything not readily seen? This does not include items you’ve already repaired. If yes, please list, if no, write “none.”
Does your property have a DEFERRED WATER fee that has been established by recorded covenant or declaration? This is typically for newer communities that a once a year fee that covers the initial installation of your fresh and sewer water lines. (this is not your water bill) Please ask your agent for more clarification. And/if so please state the amount.*
Deferred Water Amount*
Is your property within 1 mile of a Superfund Cleanup site? https://map22.epa.gov/cimc/superfund*

YesNo
Is your property subject to a conservation easement or any other restriction limiting or affecting use of the property?
If there is Ground Rent on this property, please give details: Total Amount Yearly, Name, Address, and Phone of whom it is paid.

Utility Provider

Rows	Name
Electric
Gas
Water
Oil

Trash
Recycling
Home Security System (ADT, Nest, Ring, Doorbell, Etc.)
Garage Code:
If you have an HOA or Condo Association, please keep going, otherwise scroll to the bottom and click SUBMIT.
Name of Association
Amount Paid ...and... How Often
Total Amount Paid Previous Calendar Year
Name, Address, and Telephone # of Management Company. (All 3 please)
Any Claims against Association that you are aware of?
What amenities are included with your Association Fee? (e.g. water, grass, etc.)
Does the Homeowners' Association have keys or fobs for access to any HOA common areas? Pools, Gym, or other facilities?
Anything related to the HOA/CONDO Assoc. not already covered, please explain
Thank you for taking the time to fill this out and thank you for helping us to make this a smooth transaction. Once we receive this back we can complete and send the full agreement for your review and e signature. If you have any questions at all, please give us a call at 443-330-7889.

Thank you again, The Pomfrey Team
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