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2. Name*
3. Email Address
5. Address*
6. City*
7. State*
8. Zip Code*
10. Phone Number*
11. Best time to reach you?
13. Property ID Number*
14. Township or City*
    -- Select One --Buh TownshipDarling TownshipElmdale TownshipGranite TownshipParker TownshipBowlus CityElmdale CityFlensburg CityHillman CityLastrup CityLittle Falls CityRoyalton CitySobieski CitySwanville CityUpsala City
16. House Updates or Remodel

    Please check the item below if you have done any remodeling or updates.  Add the year remodeled after selecting the item.

    1. Siding
    2. Roof
    3. Windows

    1. Electrical
    2. Plumbing
    3. Basement Finish

    1. Kitchen
    2. Bathroom

    1. Floor Covering
    2. Deck
18. Year Siding Redone
19. Year Roof Redone
20. Year Windows Replaced
21. Year Electrical Redone
23. Year Plumbing Redone
24. Year Basement Finished/Remodeled
25. Year Kitchen Remodeled
26. Year Bathroom Remodeled
28. Year Floor Redone
29. Year Deck Redone
31. House Additions or Removals

    Have there been any building additions or removals in the last five years?

    1. No

    1. Yes
33. Please list the size of any new additions, new buildings and any buildings removed. Please include the use of each building.
35. Exterior of House

    Please check all that apply

    1. Wood
    2. Steel/Aluminum
    3. Vinyl
    4. Brick/Stone

    1. Stucco
    2. Masonite
    3. Log

    1. Concrete
    2. Hardy Board
    3. Half Log

    1. LP Smart Side
    2. Veneer
    3. Cedar
37. Roof Covering

    Please select type of roof covering

    1. Asphalt

    1. Metal/Steel

    1. Other
39. Describe Other Roof Covering
43. Interior House Finish
45. Number of Bedrooms
46. Number of Living Rooms
47. Number of Family Rooms
48. Number of Fireplaces
50. Number of Kitchens
51. Number of Laundry Rooms
53. Bathroom Details
55. Total # of Full Bathrooms

    Sink, Tub, Shower & Toilet

56. Total # of 3/4 Bathrooms

    Sink, Shower OR Tub, Toilet

57. Total # of 1/2 Bathrooms

    Sink and Toilet only

59. Total number of Bathrooms with Custom Tile
61. Heating with Geothermal?

    1. Yes

    1. No
63. Air Conditioning

    1. Central Air

    1. Window Unit

    1. Built in Wall Unit

    1. None
65. Floor Covering

    Check all that apply

    1. Hardwood
    2. Linoleum

    1. Carpet
    2. Ceramic Tile

    1. Laminate
    2. Other
67. Other floor covering
69. Basement Finish Amount

    Please select percentage of basement finish

    1. 0%
    2. 25%
    3. 50%
    4. 75%
    5. 100%
71. Basement Finish Details
73. Ceiling

    1. False/Grid Ceiling

    1. Drywall Ceiling

    1. Wood Ceiling
75. Walls

    1. Entire basement open (no walls)

    1. Few walls/rooms

    1. Several walls/rooms
77. Flooring

    1. No floor covering

    1. Partial floor covering

    1. Complete floor covering
79. Basement Finish Started but Incomplete - Please explain
81. Walk-Out Basement

    1. Yes

    1. No
83. Attached Garage

    1. None
    2. Unfinished

    1. Finished (insulated & sheeted)
    2. Unfinished Bonus Room Above

    1. Finished Bonus Room Above
87. Detached Garage
89. Length
90. Width
91. Height (sidewall)
93. Detached Garage Exterior Siding

    Please select all that apply

    1. Wood
    2. Steel/Aluminum
    3. Vinyl

    1. Brick/Stone
    2. Stucco
    3. Masonite

    1. Log
    2. Half Log
    3. Hardy Board

    1. Concrete
    2. Cedar
    3. Veneer
95. Detached Garage Interior Finish

    Please select all that apply

    1. Insulated
    2. Lined
    3. Electricity

    1. Plumbing/Bathroom
    2. Forced Air Heat
    3. In-Floor Heat

    1. Air Conditioning
    2. Epoxy/Tile Floor
    3. Kitchen

    1. Bonus Room Above Garage
    2. No Finish
97. Additional Residential Outbuildings and/or Sheds - Please include dimensions
Leave This Blank:


99. 1. Receive an email copy of this form.
100. Email address

     This field is not part of the form submission.

101. Submit

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