Are you looking to evaluate your homes value for the purposes of selling or refinancing? Selling      Refinancing

If you are planning to sell your home, will it be within the next 6 months? Yes      No

Style of Home: (ie.: 2 levels, 1 level, bungalow, backsplit, etc.)

Type of Home: (ie.: Detached, Semi-detached, Townhouse, Condo, etc.)

Location:

Type of Heating: (ie.: Gas, Oil, Electric, etc.)

Approximate Square Footage:

Lot Size: (ie.: 50x100, etc.)

Age of Home:

# of Bedrooms:

# of Bathrooms:

Fireplaces?   Yes      No      Multiple Fireplaces

Finished Basement?   Yes      No      No Basement

On a scale of 1 to 10 (1=Poor and 10=Exceptional), please rate the showability of your home:

Special Features:
Comments: