Thank you for choosing to list your home with Matt Jackson, REALTOR®!
I look forward to providing you with the highest level of service. Please click on a section below to get started. For your knowledge, this form is encrypted and your information is kept confidential and will not be provided to any third party not relevant to this transaction.
Name of Primary Contact Person
*
First Name
Last Name
Preferred Method of Communication (call, text, email)
Cell Phone
Other Phone
Email Address
example@example.com
What is the most important thing for you in the process of selling your home?
Name of Secondary Contact Person
First Name
Last Name
Preferred Method of Communication (call, text, email)
Cell Phone
Other Phone
Email Address
example@example.com
Property Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
What would you say are the most important selling features of your home (location, a great yard, storage space, lots of upgrades, etc.)? What might a potential buyer fall in love with?
How many floors?
How many square feet?
How many acres?
How many bedrooms?
How many full bathrooms?
How many half bathrooms?
Finished basement?
Finished attic?
Eat-in kitchen?
Have you done any additions or renovations on your home?
Do you have a shared driveway or any easements?
Are you aware of any potential code violations? We are happy to help you resolve these.
Is there a Homeowner's Association fee?
Yes
No
What is the yearly cost for the Homeowner's Association?
What else would you like to tell us about your home (special features, upgrades, potential issues, etc.)?
What is the school district?
What is the elementary school?
Type of heat
Base Board
Energy Star Unit(s)
Forced Air
Geothermal
Gravity Hot Air
Heat Pump Air
Heat Recovery System
Hot Water
Hydro Air
None
Passive Solar
Radiant
Radiator
See Remarks
Solar Thermal
Steam
Select all that apply
Type of fuel
Coal
Electric
Kerosene
Natural Gas
Oil Above Ground
Oil Below Ground
Other
Propane
Solar
Wood
Select all that apply
Air conditioning
Air Purification System
Central
Ductless
Ductwork
Energy Star Unit(s)
Geothermal
High Pressure System
None
SEER Rating 12+
Wall Units
Window Units
Select all that apply
Hot water
Electric Stand Alone
Fuel Oil Stand Alone
Gas Stand Alone
Geothermal
Indirect Tank
None
On Demand
Solar Thermal
Tank Less Coil
Select all that apply
Waste disposal
City
Septic
Other
Select all that apply
Water
City
Well
Other
Select all that apply
Garbage
Other/See Remarks
Private
Public
Select all that apply
What is the age of the central air conditioner?
How many heating zones do you have?
What is the age of the furnace or boiler (if applicable)?
Is there currently or has there ever been an oil tank at the property?
Yes, currently in use
Yes, but no longer in use
Yes, but oil tank has been removed from property
No, no knowledge of an oil tank at the property
Is the oil tank underground or above ground?
Underground
Above ground
What company provides your oil?
What is the size of the oil tank (in gallons)?
What is the age of the oil tank?
What is the location of the oil tank?
What is the average number of gallons of oil used yearly?
Do you have a copy of the certificate of removal for the oil tank?
What is the location of the septic tank?
What is the age of the septic tank?
What is the size of the septic tank (in gallons)?
Do you have a septic survey?
When was the septic tank last cleaned?
What company did the cleaning?
What is the size of the gas tank?
What is the average number of gas gallons/BTUs/therms used yearly?
Who is your gas provider?
Do you have a survey of your property?
What type of roof do you have (asphalt, wood, tile, etc.)?
What is the age of the roof?
Number of layers on the roof?
Do you have an inground swimming pool?
Yes
No
What type of pool (vinyl, concrete, gunite, fiberglass)?
What is the age of the pool?
INCLUDED ITEMS that you will leave with the home
A/C Units
Air Filter System
Alarm System
Attic Fan
Awning
B/I Audio/Visual Equip
B/I Shelves
Basketball Hoop
Bread Warmer
Ceiling Fan
Central Vacuum
Chandelier(s)
Compactor
Convection Oven
Cook Top
Craft/Table/Bench
Curtains/Drapes
Dehumidifier
Dishwasher
Disposal
Door Hardware
Dryer
Energy Star Appliance(s)
Entertainment Cabinets
Fireplace Equip
Flat Screen TV Bracket
Freezer
Front Gate
Garage Door Opener
Garage Remote
Gas Grill
Gas Tank
Generator
Greenhouse
Hot Tub
Humidifier
Intercom
Lawn Maintenance Equip
Light Fixtures
Low Flow fixtures
Mailbox
Microwave
Nanny Cam/Comp Serv
Oven/Range
Pellet Stove
Playset
Pool Equipment/Cover
Refrigerator
Screens
Second Refrigerator
Second Dishwasher
Second Dryer
Second Freezer
Second Stove
Second Washer
Shades/Blinds
Shed
Solar Panels Leased
Solar Panels Owned
Speakers Indoor
Speakers Outdoor
Stained Glass Window
Storm Windows
TV Dish
Video Cameras
Wall Oven
Wall to Wall Carpet
Washer
Water Conditioner Owned
Water Conditioner Rented
Whirlpool Tub
Whole House Entertainment System
Wine Cooler
Woodburning Stove
Other
EXCLUDED ITEMS that you will take with you
A/C Units
Air Filter
Alarm System
Awnings
B/I Audio/Visual Equip
B/I Shelves
Basketball Hoop
Bread Warmer
Ceiling Fan
Chandelier(s)
Compactor
Convection Oven
Craft/Table/Bench
Curtains/Drapes
Dehumidifier
Dishwasher
Disposal
Door Hardware
Dryer
Entertainment Cabinets
Fireplace Equipment
Flat Screen TV Bracket
Freezer
Front Gate
Garage Door Opener
Garage Remote
Gas Tank
Generator
Greenhouse
Grill
Hot Tub
Humidifier
Intercom
Lap Pool
Lawn Maintenance Equip
Mailbox
Microwave Oven
Nanny Cam/Comp Serv
Pellet Stove
Playset
Pool Above Ground
Pool Equipment/Cover
Refrigerator
Screens
Second Dishwasher
Second Dryer
Second Freezer
Second Refrigerator
Second Stove
Second Washer
Selected Light Fixtures
Selected Plantings
Selected Window Treatment
Shades/Blinds
Shed
Speakers Indoor
Speakers Outdoor
Stained Glass Window
Storm Windows
TV Dish
Video Cameras
Wall To Wall Carpet
Washer
Water Conditioner
Water Softener
Whole House Entertainment System
Wine Cooler
Wood Stove
Other
If you have any questions, please contact Matt Jackson at (757) 696-5177.
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