| First Name ** |
|
Home Address |
|
| Last Name ** |
|
Home State |
|
| Email ** |
|
Home County |
|
| Work Phone ** |
|
Home Zip Code |
|
| |
|
|
|
| Property Information |
| Property Address |
|
Property County |
|
| Property State |
|
Property Zip Code |
|
| |
|
|
|
Please provide copies of any available documents as soon as possible: |
| Do You Have... |
|
|
|
| A Formal Appraisal? |
Yes
No
|
A Survey* ? |
Yes
No
|
| A Floor Plan of Your Home? |
Yes
No
|
A Copy of Your Covenants? |
Yes
No
|
| |
|
|
|
| Have there been changes that would affect the Survey (added buildings, fences, etc.)? If so, please describe |
|
| |
|
|
|
| Do you have an Easements on your property or through your Homeowner's Association? |
|
| |
|
|
|
| Are there any pending Assessments on your Property? |
|
| |
|
|
|
| Please list any Warranties or Extended Warranties (HVAC, roof, etc.) that will be given to the Buyer: |
|
| |
|
|
|
| Do you have a Termite contract? |
Yes No |
Company/Phone: |
|
| |
|
|
|
| Is your Property in a Flood Plain? |
Yes No |
|
|
| If yes, does your mortgage company require you to carry Flood Insurance? |
Yes No |
Please specify the Insurance Provider's Name, Phone and Yearly Cost: |
|
| |
|
|
|
| Is your home inside City Limits? |
Yes No |
Have you received notice of annexation? |
Yes
No
|
| |
|
|
|
| Do you have a security system? |
Yes No |
If so, Do you have monitoring charges or a contract? |
Yes
No
|
| Please provide the company name: |
|
|
|
| If you do not pay for a monitoring charge, will your alarm sound if armed?
Yes
No
|
| |
| |
|
|
|
| Type of Water |
City Well |
|
|
| If County, provider's name? |
|
If Well, location and type: |
|
| |
|
|
|
| Location and type of septic system: |
|
When was your septic last pumped? |
|
| |
|
|
|
| Do you have knowledge of the following on your property: |
| Underground fuel storage tanks? |
Yes No |
Aluminum electrical wiring? |
Yes
No
|
| Polybutylene piping/plumbing? |
Yes No |
|
|
| |
|
|
|
| Do you have a gas/propane tank? |
Yes No |
If yes, is it Above or Below Ground? |
Above Below |
| Do you own or rent? |
Own Rent |
Company Name and number? |
|
| |
|
|
|
| Are there any proposed construction roads, industrial/commercial sites, landfills, etc. that could affect your property positively or negatively? |
|
| |
|
|
|
| Who was your home builder? |
|
|
|
| |
|
|
|
| |
|
|
|