Last Name

StreetAddress

City

State
Massachusetts Connecticut New Hampshire Vermont

Zip

Phone

Email

Preferred Contact Method Email Phone

Dwelling Information

Year built:

House type:
Select Type 1-Family 2-Family 3-Family

House Style:

Total square footage of the home's finished living area:

Options:
Deck Sq. Ft.
Sunroom Sq. Ft.
Porch Sq. Ft.

House features:

Garage:
Yes No
Type: Select Attached Built-in Carport Detached
How many vehicles can be parked in the garage? Select One Two Three Four

Basement:
Yes No
If yes, percentage finished: %

Kitchen(s):
Number of kitchens in the house:

Bathroom(s):
Number of bathrooms:
Full (3 or more fixtures w/ tub)
Half (sink, toilet, stand-up shower)
Half (sink/toilet only)
Please indicate quality: Select Standard Custom Designer

Primary source of heat:
Oil Gas Electric
Other

Secondary source of heat:
Yes No

If yes, please describe:

Central Air Conditioning:
Yes No
If yes, does it share ducts with the heating system?
Yes No

Central Vacuum system:
Yes No

Fireplaces with masonry chimneys:

(DOUBLE is two fireboxes and one chimney,
TRIPLE is three fireboxes and one chimney)

Detached Structures:
Yes No

If yes, what type of structure?

Animals/Exotic Pets:
Yes No

If yes, what type?

Swimming Pool:
Yes No
If yes, is it inground above
Fenced? Yes No

Comments

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