Name :
Street Address :
Address (cont) :
City :
State :
Zip :
Work Phone :
Home Phone :
Fax :
Email :
How many bedrooms :
How many baths :
What is the size of your Garage or Carport (2 car, etc)? :
What is the approximate age of your Home? :
When did you purchase your Home? :
What is the approximate heated area of your home (in square feet)? :
How many fireplaces? :
What Style is your Home? :
Ranch
Split Level
Traditional
Tudor
Two Story
Bungalow
Victorian
Historic
Tri-Level
Contemporary
Cape Cod
Features:
Patio
Deck Porch
Swimming Pool
Waterfront
Golf Course Front
Secluded Lot w/Trees
Wooded Pasture
Riverfront Property
Fenced Yard
Other Information:
