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Date
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1: Contact Information
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Name:
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Address:
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Zip/Postal Code:
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Email:
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Home Phone:
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Cell Phone:
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2: Appliances & Personal Property
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Age of Appliances
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Gas or Electric
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Stove
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Will this remain in the home after the sale?
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Fridge
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Will this remain in the home after the sale?
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Microwave
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Will this remain in the home after the sale?
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Dishwasher
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Will this remain in the home after the sale?
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Washer
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Will this remain in the home after the sale?
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Dryer
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Will this remain in the home after the sale?
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Water Heater
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Furnace
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A/C Unit
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Other
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3: Utilities
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Type
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Name of provider
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Average Utility Bill
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Electric
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Gas
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Water
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Sewer
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Internet
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Television
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Telephone
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Provide the name of the security system and company, if applicable
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Is there a septic system on the property?
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Please state the location of the septic field and the last date of service on the septic system:
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4: About Your Home
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Please list any updates made to your home in the last 5 years:
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Why did you choose this home when you were buying?
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Favorite things about the location and/or neighborhood?
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Please list anything else you want buyers to know about your home:
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5: Miscellaneous
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List any easements on the property:
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Is the property on a private road? If yes, is there a written road agreement in place?
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Is there a homeowner association? If yes, please provide the contact info, dues, frequency and the date current dues expire:
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6: Showings
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Are there times that you will not be able to accommodate showings?
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If you answered yes, please explain:
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Are there pets that will be home during showings?
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If you answered yes, will the pet be contained? Please provide details here:
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What is the best way to notify you of showings?
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What number should we text/call?
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6: Lender/Servicer
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Name of Lender:
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Account #:
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Approximate Payoff:
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