Please provide the following contact information:
Name:
Street Address:
City:
Province:
Postal Code:

E-mail:

Home Phone:

Work Phone:

Fax:

What type of house is it? 

How many bedrooms are there? 

How many bathrooms?  

How many garages are there?

What is the size of the lot?   Ft X  Ft

Is the basement finished?

How is the house heated? 

How old is your home?

Please rate the fellowing components of your home.

Good Fair Poor
Structure:
Roof:
Decor:
Heating:
Electric:
Plumbing:
Kitchen:
Baths:
Exterior:
Landscaping:

Please review fellowing features that your property may have.

 
Large Kitchen:
Large Backyard:
Master Ensuite:
Quiet Street:
Air Cond.
Pool:

What would be the best time to contact you?

Between   and       

Please describe any other features that you feel would
affect the value of your property.



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