REQUEST FOR HOME VALUE REPORT Question Title * 1. Full address of property you wish to have a full home valuation for: (Required.) Street Unit City State Zip OK Question Title * 2. Contact info (Required.) name email phone OK Question Title * 3. What is the primary reason you are requesting this report? (Required.) I am considering refinancing or taking out an equity loan I am considering selling or have decided to sell this property Just curious whether my home has increased or decreased in value and by how much Other (please specify) OK The following questions will help us to build a more accurate report for your home. The more details you provide the more accurate it will be. OK Question Title * 4. Is this property currently being used as a rental? Yes No OK Question Title * 5. How would you rate the current condition of your home? Excellent Good Fair Poor Briefly explain your answer OK Question Title * 6. Have you made any improvements or pending repairs to the property since purchasing that you would like included in value of your home? OK Question Title * 7. Are there any overdue maintenance issues with your home? OK Question Title * 8. Anything else you would like to tell us or questions that you have? OK DONE
