Seller's Worksheet Please fill out as much information as you can so we can provide you with the best possible service. First Name* Last Name* Street Address* City* State* Zip* Phone*Email* General InformationBuilder* Year Built* # of Fireplaces*Enter 0 if none Type of Fireplace # of Ceiling Fans*Enter 0 if none Hurricane Shutters* Yes No What Type of Hurricane Shutters Impact Doors* Yes No Impact Windows* Yes No Age of Roof* Average Electric BillAverage Water BillSurvey*Have you had a recent survey done Yes No Enter date survey was done MM slash DD slash YYYY Floor Plan*Do you have a copy of your floor plan Yes No Insurance InformationInsurance Provider PriceIs this with Wind Mitigation Yes No AppliancesRefrigerator* Yes No ...Make ...Age Range Yes No ...Make ...Age Dishwasher* Yes No ...Make ...Age Microwave* Yes No ...Make ...Age Garbage Disposal* Yes No ...Make ...Age Washer* Yes No ...Make ...Age Dryer* Yes No ...Make ...Age Wine Cooler* Yes No ...Make ...Age Water Heater* Yes No ...Make ...Age Air Conditioner* Yes No ...Make ...Age Service Company PhonePropane Tank* Yes No Is Propane Tank Owned Leased Service Company Name PhoneLandscaping and LawnLawn Service* Yes No Service Company Name PhonePriceLandscaping Service* Yes No Service Company Name PhonePriceSprinklers* Yes No ...Make ...Age Service Company Name PhoneLighting* Yes No Service Company Name PhoneAdditional FeaturesPool* Yes No Type of Pool Is Pool Screened Yes No Special Features Service Company Name PhoneSpa/Hot Tub* Yes No Waterfront* Yes No Type of Waterfront* Bay Canal Gulf Intracoastal Waterway Lake Water Depth (in feet) Dock* Yes No Is Dock Fixed Floating Boat Lift* Yes No Boat Weight up to (lbs)Enter the maximum weight, in pounds, a boat can be with the boat lift Boat Length up to (ft)Enter the maximum length, in feet, a boat can be with the boat lift Describe any improvements since purchase:
