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Pre-Appointment Property Questionnaire
* INDICATES REQUIRED FIELD
16
Questions
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1
Property Address
*
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2
Estimated Square Footage
(not including a finished basement)
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3
Number of bedrooms
*
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(not including those in the basement if applicable)
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4
Number of "full" and "half" bathrooms
*
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(not including those in the basement if applicable)
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5
Number of garage bays/stalls
*
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No Garage
1 Car
2 Cars
3 Cars
4+ Cars
Converted Garage
No Garage
1 Car
2 Cars
3 Cars
4+ Cars
Converted Garage
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6
Is any part of your land used for
agricultural (ag) purposes?
If so, please describe the ag use as well as the annual income generated from such use
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7
Kitchen appliances (select all that apply):
*
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Electric Stove/Oven
Gas Stove
Garbage Disposal
Dishwasher
Refrigerator
Built-in Microwave
Trash Compactor
Other
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8
Land Improvements.
(Select all that apply)
Storage Building on a concrete foundation
Large Workshop
Barn (i.e. pole barn or other type of large barn)
Privacy fence (chain, wood, vinyl, mixed "i.e. part vinyl & part chain", etc.)
In-Ground Pool or Semi In-Ground Pool (exclude above ground pool)
Small apartment/guest house (with full kitchen & full bath)
Other
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9
How is the property heated and cooled
(including in-law suite/apartment)
:
*
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(Select all that apply)
Central Heat and Air
Wall / Window AC Unit
Fireplace
Gas (natural, propane, etc.)
Affixed Wall Heaters
Ductless Heat/Air System
Other
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10
Select the utility sources for the property:
*
This field is required.
(Select all that apply)
City / Public Water
City / Public Sewer
Septic Tank
STEP System
Well Water (for the house)
Well Water (for agriculture/garden use, etc.)
Other
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11
Have you converted the garage or attic into living space? If so,
(1)
when
[mm/yyyy]
,
(2)
were permits pulled,
(3)
is there a permanent heat source in that space?
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12
When was the last time you updated your
kitchen (mm/yyyy)
. If recent, what did you update?
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13
When was the last time you updated any of the
bathrooms (mm/yyyy)
. If recent, which did you update
(i.e. primary, hall, bath #3, half bath)
and what did you update? If not recently updated, indicate as such.
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14
Please describe any other updates (
i.e. fresh paint, updated light fixtures, added energy efficient items, etc.
).
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15
If there is a
Home Owners Association
( HOA), what is the
annual fee
and what does it cover
(
i.e. community pool, street lights/sidewalk maintenance, etc.
)
.
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16
Please provide any
additional information
about your property that may not be addressed in this form or noted in any public records database.
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17
Do you hereby affirm that the information you provided is true?
*
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YES
NO
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18
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