The Davis Company Realtors

Seller's Homework

1. Address of Listed Property
2. Please Furnish Key
3. Do you have a copy of a recorded Plat?
4. List personal property items included in sale:
5. Items NOT included in sale:
6. Who is the supplier of your electricity?
Account#
7. Who supplies your oil and/or gas? (if applicable):

8. Do you have public water?	Yes No
If so, Town of South Boston
or Town of Halifax

9. Do you have a well?	Yes No
Location of well
Depth
Who dug the well?

10. Do you have public sewer?	Yes No
If so, Town of South Boston
or Town of Halifax

11. Do you have septic system?	Yes No
Location of tank
Last time pumped/checked
Is the system functioning properly?	Yes No Unknown
Does not apply

12. Do you have a Security System?
Entry Code
Monitored by:

13. Is cable TV available?	Yes No
Do you have cable hooked up?	Yes No

14. Garage? (# cars)
# of openers

15. Wood-destroying organisms: Any infestation and/or prior damage?
	Yes No Unknown
Any treatments or repairs?	Yes No Unknown
Comments:

16. Do you have a Pest Control contract?
Company name
and phone number

17. Number of fireplaces?
wood burning
or gas
Date chimney last cleaned?

18. Have any insurance claims been made for loss of damage to the Property?
	Yes No
If "yes" please indicate status and resolution of claim:

19. Type of heating system:
Age:
Service company you use:
Is the system in working condition?	Yes No Unknown

20. Type of cooling system:
Age:
Service company you use:
Is the system in working condition?	Yes No Unknown

21. Roof: Age:
Type:
Any leaks or evidence of moisture?	Yes No Unknown
Comments:

22. Electric System: Are there any problems with electrical fuses/Circuit breakers, outlets or wiring?
	Yes No Unknown
Comments:

23. Exterior Drainage: Does water stand on the property for more than 24 hours after a heavy rain?
	Yes No Unknown
Are gutters and downspouts in working condition?	Yes No Unknown
Does not apply
Comments:

24. Basement :
Any leaks or evidence of moisture?	Yes No Unknown
Comments:

**Please list any improvement you have made to your home i.e. : new roof, electrical updates, painting, etc.
Please include dates of when work was done.

Seller's Homework The Davis Company Realtors 434-575-1100

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Home Phone:
Work Phone:
Work Phone:
Cell Phone:
Other Phone:
Fax #:
Email:

YOUR MAILING ADDRESS?

HOW TO ADDRESS CORRESPONDENCE: NAMES:

Name, phone number and loan number for your existing mortgage:
Name:
Phone Number:
Loan Number:

Home equity loan?

Please sign verifying the information on this form is correct to the BEST of your knowledge:

Owner (sign here)	Date

Owner (sign here)	Date

If by Email... Do you verify the information form is correct to the BEST of your knowledge?
Yes No
Date

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