* First Name:

* Last Name:

* Primary contact number:

* Email:

Best time to contact you:

Address:

Type of home:

---Detached 2 storeyBungalowSplitSemi-DetachedRow HouseCondo ApartmentCondo TownhouseInvestment property

Age of property:

Number of bedrooms:

Number of bathrooms:

Ensuite bath:

---2 piece3 piece4 piece5 piece

Garage type:

---SingleDoubleAttachedDetachedNone

Heating:

Fireplace:

Main floor family room:

YesNo

Air conditioning:

YesNo

Finished basement:

YesNo

Kitchen:

Main bathroom:

Ensuite bathroom:

Powder room:

Family room:

Windows:

Flooring:

Basement:

Shingles:

Wiring:

Additions:

Other:

Additional comments: