Homeowner Information Sheet
Name:Date:
Home Phone: Work Phone:
Mail Address:
Dwelling Location:
Directions to Property:
Primary Secondary Seasonal Rental
Year Built Construction Type
# Families #Stories Ground Floor Area
Siding Type Color
Dwelling Type Ranch Cape Split Level Log Cabin Other
Room:
Kitchen Living Room Dining Room Bedrooms Family Room
Office Full Baths Half Baths Other
Basement: Full Finished Area Walkout
Finished Attic
Porches: Open Porch Area Enclosed Porch Area
Deck Measurements
Garage: None yes Dimensions Attached Detached No. Cars
Plumbing: Year Type Updated
Electric: Year Type Updated
Central Heat: Year Type Updated
Where is the tank located? Woodstove
Chimneys Flues Fireplaces Hearths
Roof: Type Updated
Replacement Cost ContentsReplacement Cost Dwelling
Air Exchanger
Air Humidifier (Built-in)
Bathroom Heater
Ceiling Fan
Central Vacuum System
Countertop Range
Dishwasher (Built-in)
Domestic Solar Hot Water
Dryer (Built-in)
Electronic Air Filter
Elevator
Garage Door Opener
Garbage Disposal
Hot Tub (not jetted tub)
Intercom System
Interior Sprinkler
Jetted Tub
Kitchenette Package
Oven (built-in)
Prefab Fireplace Insert
Range Hood
Refrigerator (Built-in)
Roof Exhaust Fan
Sauna
Security and Fire Alarm
Skylight
Smoke Alarm
Trash Compactor
Video Door-Answer System
Washer (Built-in)
Water Purification System
Water Softener
Wet Bar
Whole House fan
Wood Burning Stove
Indicate the amount of each additional feature which is contained in your dwelling.
Please note any other improvements below:
