Address or Location:	enter text

SITE IMPROVEMENTS

Driveway:	Gravel	☐	Concrete	☐	Asphalt	☐
Width x Length	enter text

Sewage:	Public	☐	Private	☐	Standard	☐

Engineered	☐	Tank Size:	Tank Size: enter text

Landscaping:	Poor: ☐	Fair	☐	Good	☐	Excellent	☐
Remarks: enter text

Sprinklers:	Hoses:	☐	Surface:	☐	Underground:	☐

RESIDENCE

Construction:	Wood Frame:	☐	Brick:	☐	Block:	☐
Log:	☐	Other:	enter text

Foundation:	Concrete:	☐	Wood:	☐	Post & Piers:	☐

Basement:	Full:	☐	None, Slab:	☐	None, Crawl:	☐
Partial:	☐	% Partial:	%	Unfurnished:	☐
Daylight:	☐	Walkout:	☐	Finished:	☐
Poor:	☐	Fair:	☐	Good:	☐
Excellent:	☐

Roof:	Built-up:	☐	Rolled:	☐	Composition:	☐
Wood:	☐	Tile:	☐	Metal:	☐

Heating:	Forced Air:	☐	Gas:	☐	Electric:
Base Board:	☐	Hot Water:	☐	Space
Wood	☐	Other:	☐	enter text

Built-ins:	Hood & Fan:	☐	Range:	☐	Oven:	☐
Compactor:	☐	Disposal:	☐	Dishwasher:	☐
Vacuum:	☐	Iron Filter:	☐	Water Softener:	☐
Air Conditioning:	☐	Wood Stove:	☐
Fireplace:	☐	Other:	enter text

Features:	Patio:	☐	Wood Deck:	☐	Storm Windows:	☐
Hot Tub:	☐	Swimming Pool:	☐
Other:	enter text

Quality of Construction:	Poor: ☐	Fair: ☐	Good: ☐	Excellent: ☐
Remarks:	enter text

Condition:	Poor: ☐	Fair: ☐	Good: ☐	Excellent: ☐
Remarks:	enter text

Functional Utility:	Poor: ☐	Fair: ☐	Good: ☐	Excellent: ☐
Remarks:	enter text

GARAGE ☐ / CARPORT ☐

Attached: ☐	Detached: ☐	Number of cars: enter text
Condition:	Poor: ☐	Fair: ☐	Good: ☐	Excellent: ☐
Remarks:	enter text

REMARKS:	enter text

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