Home Evaluation Form

Street Address:

City:

Province:

Approx. Square Footage Above Grade:

Number of Bedrooms Above Grade:

Number of Bathrooms:

Lot Size:

Home Style
Bungalow Raised Bungalow 1 1/2 Storey 2+ Storey Split Level (3 Levels) Split Level (4+ Levels) Townhouse Condominium Semi Detached Detached

Parking Private Drive Shared Drive Other Type No Drive Single Detached Garage Double Detached Garage Single Attached Garage Double Attached Garage Multiple Car Garage Other Type of Garage

Basement Development Full Finished Part Crawl None

Approximate Age of Home New Under 1 year 1 – 5 years 5 – 10 years 10 – 20 years 20 – 50 years Over 50 years

Overall Condition Poor Average Good Excellent

When Do You Plan to Move? Immediately Within 3 months Within 6 months Within 1 year Within 3 years Over 3 years Undecided

Additional criteria and information:

Please provide the following information so we can send the information you have requested:

Name:

Telephone

E-mail

Fax:

Mailing Address:

City:

Province:

Postal Code:

Dining Room

Family Room

Recreation Room

Main Floor Laundry

Whirlpool Bath

Fenced Yard

Fireplace

Ravine View

New Siding

Freshly Painted

New Flooring

New Roof

Walkout Basement

Above Ground Pool

Inground Pool

Ensuite Bath

Deck

Central Air

Dishwasher

Central Vac

New Kitchen

New Furnace

New Windows

Upgraded Bath