Name: Address: City: State:- - AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Code: Phone: Email Address: Information About Your Property Approx Condition: Perfect Good Fair Needs Work Poor Bedrooms -- 0 1 2 3 4 5 6 6+ Bathrooms: -- 1 1.5 2 2.5 3 3.5 4 4+ Basement? None Full Partial Crawl Partial+Crawl Garage # of Cars None 1 2 3 3+ Approx Sq Footage: Type of Home: Detached Condo Townhome Multi-Family Land Other Please list any outstanding features/upgrades about your home below. If the address is different than your home address, please also list it below. Features: Security Code *