Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State
Postal / Zip Code
Phone Number
E-mail
example@example.com
Average Monthly Water Bill
Average Monthly Gas Bill
Average Monthly Power Bill
Do you have an HOA?
Yes
Maybe
If you have an HOA, who is the contact?
What does your HOA cover?
Does your neighborhood have Covenant and Restrictions?
Yes (please email it to us)
Maybe
No
Do you have a copy of your Title Binder?
Yes (please email it to us)
No
Do you have a copy of your Survey?
Yes (please email it to us)
No
How old is your...
Age
Water Heater
Roof
HVAC
When was your last HVAC service?
What upgrades were done when you bought?
What upgrades have you made, and when?
Are there any neighborhood amenities?
What are your favorite features?
Who is your Gas company?
Who is your Water company?
Who is your Sewer company (if applicable)?
Who is your Trash company?
Who is your Internet Service Provider?
Current Trash Collection company
What day is trash picked up?
What day is recycling picked up?
Current Termite Bond company
If none, leave blank.
What are you garage door codes (if applicable)?
What is your security system code (if applicable)?
Who is your security monitoring company (if applicable)?
When is your Birthday?
-
Month
-
Day
Year
Date
When is your Anniversary?
-
Month
-
Day
Year
Date
Submit
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