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2. Address
3. Parcel Number
5. Home Questions
7. Number of Rooms on the First Floor

   (Not including bathrooms)

8. Number of Rooms on the Second Floor

   (Not including bathrooms)

10. Number of Bedrooms
12. Number of 3 Fixture Bathrooms

    (Full bath - toilet, sink, and tub/shower)

    Do not include any bathrooms in the basement in this count.

13. Number of 2 Fixture Bathrooms

    (Half bath - toilet and sink)

    Do not include any bathrooms in the basement in this count.

17. The following questions are general maintenance questions. If original to home with no updates, please leave blank.
19. Year Roof Replaced
20. Year Windows Replaced
21. Year Furnace Replaced
23. Year Kitchen Updated
24. Year Bath Updated
26. Floor Coverings - Kitchen

    1. Ceramic
    2. Laminate
    3. Vinyl
    4. Wood
27. Floor Coverings - Bath(s)

    1. Ceramic
    2. Laminate
    3. Vinyl
    4. Wood
29. Does the home have central air conditioning?

    1. No
    2. Yes
30. Does the home have a whole home generator?

    1. No
    2. Yes
32. Does the home have solar panels?

    1. No
    2. Yes
33. How many solar panels?
37. The following questions pertain to the basement area only.
39. Is your basement finished?

    1. No
    2. Yes
40. If yes, estimate percent finished.
42. How many rooms are in the basement area?
44. Is there a bathroom in the basement?

    1. No
    2. Yes
45. If so, is it a 2 or 3 fixture bathroom?
47. Basement Finish Questions
49. Wall Finish

    1. Drywall
    2. Paneling
50. Ceiling Finish

    1. Drywall
    2. Suspended
51. Flooring

    1. Carpet
    2. Laminate
    3. Vinyl
    4. Wood
53. Thank you for taking the time to complete the questionnaire. Please feel free to add any information that may be useful in the comments box below.
Leave This Blank:


55. 1. Receive an email copy of this form.
56. Email address

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