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2. First Name*
3. Last Name*
5. Property Address*
7. Parcel Number (If known)
9. Phone Number*
11. E-mail
13. Number of bedrooms? A den or office with a closet is considered a bedroom.
    -- Select One --123456 or more
15. Number of bathrooms? (3 or more fixture bath=Full, 2 fixture bath=Half)
17. Number of fireplaces?
    -- Select One --0123456
19. Is the fireplace gas or wood burning?
    -- Select One --GasWood burning
21. What type of chimney is it? Check all that apply.

    1. Outside (exterior) chimney
    2. Interior chimney
    3. Direct Vent
    4. Two sided
23. Do you have central air conditioning?
    -- Select One --YesNo
25. What type of flooring is in the kitchen?
    -- Select One --Vinyl/LinoleumLaminateHardwoodCeramic tileParquetMarbleSlate/StoneCarpetOther
27. What type of flooring is in the dining area?
    -- Select One --Vinyl/LinoleumLaminateHardwoodCeramic tileParquetMarbleSlate/StoneCarpetOther
29. What type of flooring is in most of your bathrooms?
    -- Select One --Vinyl/LinoleumLaminateHardwoodCeramic tileParquetMarbleSlate/StoneCarpetOther
31. What type of flooring is in most of your bedrooms?
    -- Select One --Vinyl/LinoleumLaminateHardwoodCeramic tileParquetMarbleSlate/StoneCarpetOther
33. What type of kitchen counter tops do you have?

    1. Formica
    2. Corian
    3. Granite
    4. Marble

    1. Quartz
    2. Stone
    3. Tile
    4. Other
35. Type of cabinets?
    -- Select One --StandardCustom
37. Check all that apply

    1. Dishwasher
    2. Built-in Oven
    3. Cooktop
    4. Wine Cooler
    5. Security System
    6. Jacuzzi tub

    1. Underground sprinkling
    2. Trash compactor
    3. Wood stove
    4. Sauna
    5. Central Vacuum
    6. Hot tub
39. Check all that apply

    1. Shed
    2. Covered Porch
    3. Screened Enclosed Porch
    4. Glass Enclosed Porch
    5. Wood Deck
    6. Concrete Patio
    7. Block Patio

    1. Slate Patio
    2. Inground Pool
    3. Pool house
    4. Boat house
    5. Tennis court
    6. Racquet ball court
    7. Elevator
41. What's the square footage or dimensions of the shed?
42. What's the square footage or dimensions of the Covered Porch
43. What's the square footage or dimensions of the Screened Enclosed Porch?
44. What's the square footage or dimensions of the Glass Enclosed Porch?
46. What's the square footage or dimensions of the Wood Deck?
47. What's the square footage or dimensions of the Concrete Patio?
48. What's the square footage or dimensions of the Block Patio?
49. What's the square footage or dimensions of the Slate Patio?
51. What's the square footage or dimensions of the Inground Pool?
52. What's the square footage or dimensions of the pool house?
53. What's the square footage or dimensions of the tennis court?
55. What's the square footage or dimensions of the Racquet ball court?
56. What's the square footage or dimensions of the boat house?
58. How many stops does the elevator have?
    -- Select One --234
60. Which best describes your foundation? Check all that apply.

    1. Typical full basement
    2. Daylight
    3. Crawl space

    1. Slab
    2. Michigan basement (less than 7ft from floor to joists)
    3. Bi-Level/Tri-Level
62. Is your basement finished?
    -- Select One --YesNo
64. What % is finished?
66. What type of finish?
    -- Select One --Drywall on walls & ceilingDrop ceiling with panel on walls
68. How many walk out doors in your lower level? (If there's a foundation)
    -- Select One --012345
70. Do you have an attic?
    -- Select One --YesNo
72. What type is it?
    -- Select One --Opening in ceiling for insulationDrop down doorStairway leading to upstairs
74. Is it finished area or storage only?
76. Do you have a garage?
    -- Select One --YesNo
78. Is it:

    1. Attached
    2. Detached
80. What's the car capacity?
    -- Select One --12345
82. How many automatic door openers do you have?
    -- Select One --01234
84. The interior walls & ceiling of the garage are:

    1. Drywalled
    2. Unfinished
86. Describe any improvements made to the property in the last 5 years.
88. Is there any information you would like to share about your property?
90. Can we have your permission to measure the exterior of your home?
    -- Select One --YesNo
91. If no, do you want to set up an appointment? If so, please provide your phone number. We only need to come out if we find differences between your answer and our current information.
93. I verify that this information is correct.*

    1. I agree
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95. 1. Receive an email copy of this form.
96. Email address

    This field is not part of the form submission.

97. Submit

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