Address

Street Address

City

State

Country

Postal code

Owner's Name

Can you confirm the followig

Number of Bedrooms
Number of Bathrooms
Property Area (square ft)

Regarding the HVAC system — has it ever been serviced since you had it?

Yes

No

Regarding the HVAC system — are there any heating or cooling problems?

Yes

No

Are there any electrical problems in the property?

Yes

No

Are there any plumbing issues in the property?

Yes

No

Are there any issues with the property’s foundation?

Yes

No

Regarding the structure — do you notice cracks in the drywall or slants in the floor?

Yes

No

Have the kitchens and bathrooms been updated recently?

Yes

No

Are there any other areas or items in the house that you feel need attention? If yes, please provide a brief description.

Is anyone currently living in the property?

Yes

No

Is the property currently listed with a realtor?

Yes

No

How much is owed on the current mortgage? (N/A if no amount owed)

What is your main reason for considering selling the property?

If you decide to sell, how soon would you like to complete the sale?

Do you have an asking price in mind for the property? If so, how much?

Is that price negotiable?

Yes

No

REFERRER Contact Information

Who is credited for the reference (This is Optional)

Name

Phone number *

Email *

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