Real Property Questionnaire

General Information

Parcel Number:

Owner First Name:

Owner Phone Number:

Owner Last Name:

Email Address:

Purchase Details

Was this property purchased in the past three years?
Yes No

Date Purchased:

Purchase Price:

Monthly Rent (if rented):

Gate Access

Are there any locked gates for access to the property?
Yes No

If you have any locked gates, we will need to have them opened, or have access to a key.

Lock Combination:

or Key Location:

Property Details

Please provide all of the information in this section.

Acreage:

Utilities on the Property: Septic/Sewer Water Power None

Description:

Briefly describe the land, including any features or defects you feel are unique to the property.

Building Details

Select the options that apply to the buildings on your property

Buildings on the Property: Site Built Home Manufactured Home None Other

Additional Items

Indicate any of the following existing items, and provide the square footage of each:

Changes & Improvements

Please describe any additions or changes to the land or improvements which have occurred in the last five years:

Submit Form

Please review all information provided above before submitting.