Sellers Questionnaire Please be as descriptive as possible when filling out this seller questionnaire. Being descriptive allows us to list your property as effectively and accurately as possible. Seller 1*NamePhone NumberEmail AddressSeller 2NamePhone NumberEmail AddressProperty Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Who will be the primary contact?* JPRE Agent*Please select your agentDan PerrineRyan SchmollKari BryantJaden CramerUndecidedDo you have a date you need to move by?* Yes No Date* Month Day Year Do you plan on purchasing another home locally? Yes No Undecided Home Type*Please select your home typeSingle FamilyTwin HomeCondo/TownhomeDuplexLake PropertyOtherPlease Fill In Other* Home Style*Please select your home style1 Story1 1/2 Story2 Story3 Story3 Level4 LevelBi-LevelPlease fill in other* Year Built Floodplain* Yes No Unsure Do you carry a flood insurance policy? Yes No What is your annual flood insurance premium? School District* Lot Square Footage* Home Square Footage* Total Number of Bedrooms* Max Number of Bedrooms on the Same Floor* Master Bedroom on Main* Yes No Master Bath Features Private Bath Hollywood Bath Whirlpool Tub Double Sinks Walk-in-Closet Master Bedroom Details*Please fill in any additional details about the master bedroom. Bathroom Details*Please list whole numbers. Total Number of BathroomsFull Baths (tub, shower, sink, toilet)3/4 Baths (shower, sink, toilet)1/2 Baths (toilet & sink) Where is your laundry room?* Basement Lower Main Upper Type of Garage* Attached Detached Parking Spaces None Other Number of Attached Stalls* Number of Detached Stalls* Number of Parking Spaces* Other* Waterfront?* Yes No Length of Frontage* Lake Name* Is there any personal property that you would specifically like to include in the sale of your home? (Ex: washer and dryer, etc)*Is there any personal property that you would specifically like to exclude in the sale of your home? (Ex: washer and dryer, etc)*Pets?* Yes No Vacant?* Yes No Security System?* Yes No * Wired Other Unsure Fire Sprinkler?* Yes No Exterior* Metal Wood Brick Vinyl Hard Board Stone Shingle/Shake Dryvit/Stucco Roof* Shingle Woodshake/Shingle Architectural Shingle Metal Flat Tile/Slate Estimated Age of Roof Foundation* Poured Wood Block Brick/Mortar Crawl Space Slab on Grade Partial Exterior Amentities* Fenced Full Fenced Partial Storage Shed Wood Deck Maintenance Free Deck Patio Sprinkler System Spa/Hot tub Pool Gazebo Playground Equipment Greenhouse Kennel Dock Outbuildings Other Number of Outbuildings* Other* Interior Amenities* Vault/Cathedral Ceiling Central Vacuum Pantry Hardwood Floors Laminate Floors Wet Bar Jetted Tub Kitchen Island Tile Floors Kitchen Range* Electric Gas Jenn-Air Heat System* Duel Fuel/Off Peak Ductless Electric Baseboard Electric Forced Air Electric Hot Water Floor Gas Forced Air Gas Hot Water Heat Pump Multi-zones Oil Forced Air Oil Hot Water Radiant Solar Other Other* Air Conditioning* Central Ductless Electric Air Cleaner Heat Pump Wall Humidifier Window None Other Water Heater* Electric Gas Oil Utilties* City Water Rural Water Private Well Shared Well City Sewer Private Septic Share Septic Utility Averages Electric Gas Average Electric Bill Average Gas Bill Is there a Home Owners Association?* Yes No Home Owners Association Information*HOA NameContact NameContact Phone Number Are Pets Allowed?* Yes No Yes, but with restrictions Please list restrictions* Laundry In Building* Yes No Elevator in Building* Yes No HOA Fee Per Month?* What does the HOA Fee Cover?*Any Additional HOA Payments, Fees, or Bills?* Are you currently working on any home improvement projects, or plan to?*What improvements, if any, have been done to the property since you aquired it?*Please list as many highlights/bullet points telling us about any features the property has:*Please list any specific details about any rooms in the property:Do you have a fireplace?* Yes No What type of fireplace?* Wood Burning Gas Starter Pellot Wood Stove Gas Electric Rough-In Fireplace Location(s)* Living Room Master Bedroom Family Room Basement If there are multiple fireplaces in your home, please explain:Please list rooms per level:*Example: main floor - 2 bedrooms, 1 bathroom, kitchen, living room Electricity Provider Cable and Internet Provider Gas Provider Garbage and Recycling ServiceAnswer only if outside of Fargo, West Fargo, Moorhead area. Septic ServiceAnswer only if outside of Fargo, West Fargo, Moorhead area.