Property Information Questionnaire
Property Address:
Utilities & Systems
1. Average Monthly Water Bill: __________________ / Month
2. Water Source: ☐ Public ☐ Well
3. Sewer Type: ☐ Sewer ☐Septic
4. Average Electric Bill:
________________ / Month
5. Average Gas Bill: __________________ / Month
6. Flood Insurance Cost: ________________ / Month or Year
7. Homeowners Insurance: __________________
8. Is Wind Coverage Included? ☐ Yes ☐No
9. Termite Contract: ☐ Yes ☐No
If Yes, Company Name: ________________________________________
Homeowner’s Association (if
applicable)
Is there an HOA? ☐ Yes ☐No
Yearly Cost: ____________________
Monthly/Quarterly Fee: ____________________
What does the fee include? ___________________________________________
HOA Management Company: __________________________
Contact: ______________________________________
Appliances – Year Purchased
|
Appliance
|
Year
|
Appliance
|
Year
|
|
Air Conditioner
|
______
|
Oven/Range
|
______
|
|
Air Handler
|
______
|
Microwave
|
______
|
|
Refrigerator
|
______
|
Garbage Disposal
|
______
|
|
Ice Maker
|
______
|
Dishwasher
|
______
|
|
Water Heater
|
______
|
Washer
|
______
|
|
Wine Cooler
|
______
|
Dryer
|
______
|
|
Sprinkler System
|
______
|
Other: __________
|
______
|
Pool Information
Pool Installed In: __________
Depth: __________________
Saltwater System: ☐ Yes ☐ No
Heated: ☐ Yes ☐ No
Heating Type: ☐ Gas ☐ Solar ☐Heat Pump (Electric)
Were any parts replaced or was the interior resurfaced?
☐ Yes ☐No
If Yes, please explain: ________________________________________________
Boat Access (If Applicable)
Water Depth at Dock/Lift:
____________________________________________
Construction Information
Home Builder:
____________________________________________
Service Vendor Request Checklist
Electric Company:_______________________________________
Cable/Internet: _________________________________________
Phone Provider: _________________________________________
Gas Company: ___________________________________________
Pool Company: __________________________________________
Landscaping: ___________________________________________
Alarm/Security: _________________________________________
Housekeeping: __________________________________________
Miscellaneous: __________________________________________