Address of Home:_____________________________________________________________ Price of Home:_____________ Taxes:__________ Style:______________ Age:________ No. of Rooms:____________ No. of BRs:________ No. of Baths:_________ Sq. Ft. :_______ Basement: _______________ Finished / Unfinished Garage/No. of cars:______________ Other Features:________________________________________________________________ Rate the following on a one to five scale with one being “not at all what you are looking for” to five being “everything you want”: INTERIOR Formal Living Room 1 2 3 4 5 ______________________________ Formal Dining Room 1 2 3 4 5 ______________________________ Family Room: 1 2 3 4 5 ______________________________ Eat-in-Kitchen 1 2 3 4 5 ______________________________ Master BR 1 2 3 4 5 ______________________________ Master Bath 1 2 3 4 5 ______________________________ Other BRs 1 2 3 4 5 ______________________________ Baths 1 2 3 4 5 ______________________________ EXTERIOR Siding 1 2 3 4 5 ______________________________ Windows 1 2 3 4 5 ______________________________ Yard (small/med./lrg) 1 2 3 4 5 ______________________________ Porch 1 2 3 4 5 ______________________________ Deck/Patio 1 2 3 4 5 ______________________________ Pool/Hot Tub 1 2 3 4 5 ______________________________ Driveway 1 2 3 4 5 ______________________________ View 1 2 3 4 5 ______________________________ Other 1 2 3 4 5 ______________________________ COMMENTS:____________________________________________________
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