Property Evaluation Form

Please note that the • bulleted fields must be filled in or selected.

Contact Information
• Home Owner's Name:	• Owner's Contact Phone:
• Contact Email:
When I am Planning to Sell: Choose one 60 days 2-4 months 5-6 months Don't know

Address Information For Property
• Address:	• Postal Code:
Community Name:	City:

Property Information:

• Your idea of the approximate value:

Type: Choose one Detached Semi-Detached Attached/Row/Townhouse Cottage Duplex Farm Fourplex Mobile/Trailer Store with Apt/Office Triplex Vacant Land Condo Apartment Condo Townhouse Condo Detached Condo Semi-Detached Time Share Co-Ownership Apartment Other

Number of Bedrooms: Choose one 1 2 3 4 5 6 7 8 9 10 Over 10

Approximate Age: Choose one New 1-5 Years 6-15 Years 16-30 Years 31-50 Years 51-99 Year Over 100 Years

Additional Information - up to 150 words