Name *

First Name

Last Name

Phone *

(###)

###

####

What is your preferred method of communication? *

Check all that apply.

Call

Text

Email

Property Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Our showing service, Showingtime, has the option to contact you via EMAIL, TEXT, or BOTH, what option might work best for you? *

Email only

Text only

Both please

Do you have underground irrigation lines, a sprinkler system invisible fence, or active cables? The sign will need to be installed at least 2 feet from road & 3 feet down. *

I have none of the mentioned

Yes, we need to call Miss Utility

No sign is being installed (only if we already discussed this)

If you have a septic, is it a BAT System? *

Yes

No

N/A

When was your septic pumped last?

MM

DD

YYYY

If you have a propane or oil tank do you rent or own your tank? *

Rent

Own

N/A

If you own the propane tank, is the tank above or underground? *

Aboveground

Underground

N/A

If you have oil or propane heat please answer below. Our MLS System provides limited options on type of heating system if you have propane or oil heating systems. Please select any and all that apply. (N/A if not applicable) *

90% Forced Air

Central

Forced Air

Hot Water

Humidifier

Radient

Radiator

Steam

Wall Unit

N/A

Terms *

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