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 Name:    

 Address: 

 City:     State:  Zip: 

 E-mail:   Day Phone: 

 Property Type: Single Family ResidenceCondominiumPUDDuplexTriplexFourplex    Year Built: 

     #Bedrooms:       #Baths:       #Stories:   

 Approximate Square Footage of     Home:     Land: 

 Describe any upgrades/remodeling which should be considered
 

 Please check each of the following features/amenities that apply:

 Family room  Den     Formal dining room    Maid's room

 Fireplace    Pool    Spa   Guest house  View

 Air Conditioning: Central Air    Wall unit(s)   Other

 Heating Type:     Central Heat   Floor furnace  Other

 Garage Type:      Single         Double         Triple    

                   Attached       Detached       Carport   

 Additional features or comments: