Online Home Evaluation Form

Your Contact Information...

Firstname*:
Lastname*:
Mailing Address*:
City*:
State*:
Zip Code*:
Country*:
E-mail*:
Day Phone*:
Evening Phone*:
Fax*:

Describe Your Property...

Street*:
City*:
State*:
Approx. Sq. Ft.*:
Bedrooms*:
Baths*:

House Style:   Bungalow Raised Bungalow 1 1/2 Story 2 + Story Split Level - 3 Levels Split Level - 4 Levels + Townhouse Condominium Semi Detached Detached

Parking:   Private Drive Shared Drive Other Type of Parking No Drive Single Detached Garage Double Detached Garage Single Attached Garage Double Attached Garage Multiple Car Garage Other Type of Garage

Overall Condition:

 

Poor

Average

Good

Excellent

Amenities

Dining Room Family Room Recreation Room Main Floor Laundry Whirlpool Bath Fenced Yard Fireplace Ravine View Walkout Basement Above-Ground Pool Inground Pool Master Bath Deck Central Air Dishwasher Central Vac New Siding Freshly Painted New Flooring New Roof New Kitchen New Furnace New Windows Upgraded Bath

Approximate Age of Home   New Under 1 year 1 to 5 years 5 to 10 years 10 to 20 years 20 to 50 years Over 50 years

When Do You Plan To Move?   Immediately Within 3 months Within 6 months Within one year Within 3 years Over 3 years Undecided

---

Additional Criteria and Information: