Home Evaluation Form
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Your Name:
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Your Email:
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Address:
City:
Province/State:
Country:
Postal Code:
Phone Number:
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Fax Number:
Residence Type
Select One
Condo Apartment
Condo Townhome
Semi-Detached
Detached
Attached
Residence Style
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Bungalow
Back-Split
Side-Split
Two-Storey
# of Bedrooms
Select One
One
Two
Three
Four
More than Four
# of Bathrooms
Select One
One
Two
Three
More than Three
Residence Size:
Select One
Under 1500 sq ft
1500-2000 sq ft
2000-3000 sq ft
Over 3000 sq ft
Age of Home:
Years
Family Room:
Select One
Yes
No
Fireplaces:
Select One
0
1
2
3
4
5
Garage:
Select One
None
Single
Double
Triple
Basement:
Select One
Unfinished
Part finished
Finished
Special Features & Other Details
Contact by:
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By Telephone
By Fax
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