Owner and Property Information

 *

Owner and Property Information

Map Number:	Owner Name:
Property Address	Daytime Phone #:ext.

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Bathrooms

 *

Bathrooms

# Full Baths:

# Half Baths

* NOTE: A half bath consists of a sink and toilet only.  "3/4 Baths" are considered as full baths

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Basement Type

 *

Basement Type

Cellar (%)

Slab (%)

Crawl Space (%)

Full Basement (Percentage % or Square Footage)

Finished Basement Area ( Percentage Finished % or Square Feet Finished)

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Heating & Air Conditioning

Primary Heat Source:

Fuel Type:

 *

Fuel Type:

Electric

Natural Gas

Propane

Central Air Conditioning

 *

Central Air Conditioning

Yes

No

Partial A/C (If Partial put percentage below) If other, type text here.

Number of gas burning fireplaces:

Number of gas burning fireplaces:

Number of wood burning fireplaces:

Number of wood burning fireplaces:

Number of pellet/coal/wood stove:

Number of pellet/coal/wood stove:

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Other Buildings

List other buildings (example: "Barn, 15x20"):

Other Buildings List other buildings (example: "Barn, 15x20"):

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