Name: __________________________________________________________

Street/PO: __________________________________________________________

City: __________________________________________________________

State: __________________________________________________________

Zip: __________________________________________________________

Other Address: __________________________________________________________

Phone: __________________________________________________________

Email: __________________________________________________________

Fax: __________________________________________________________

Would you like the following to appear on your web page (please circle):

Street: __________________________________________________________

City: __________________________________________________________

State: __________________________________________________________

Zip: __________________________________________________________

Other: __________________________________________________________

Asking price in US $: ___________________________________________________

Number of bedrooms: ___________________________________________________

Number of bathrooms: Full: _____ Half: _____ 3/4: _____

Other Rooms (e.g. living, dining, family, parlor): ____________________________

______________________________________________________________________

Room dimensions (list by room): __________________________________________

______________________________________________________________________

Floors/carpet (list by room): _____________________________________________

______________________________________________________________________

Basement? _____ Finished? ______

Fireplace? ______ Describe: _____________________________________________

Garage: yes/no If yes, how many cars? ___ Features: ______________________

Age of home: _________________ Year built: ______________

Heating type: _____________________ Central air? yes/no

Yard? yes/no Fenced? yes/no Deck? yes/no patio? yes/no Pool? yes/no

Other: ________________________________________________________________

Property type (e.g. single family, duplex, vacant lot): _________________________

______________________________________________________________________

House style 9e.g. Victoria, contemporary, split level): ________________________

______________________________________________________________________

Type of street (e.g. busy, cul-de-sac): ______________________________________

______________________________________________________________________

Neighborhood type (e.g. rural, friendly): ___________________________________

______________________________________________________________________

Schools: _______________________________________________________________

School district: _________________________ USD: ___________

Shopping: _____________________________________________________________

Parks/Libraries/Recreation: ______________________________________________

Other: ________________________________________________________________

______________________________________________________________________

Provide details about each room listed above, as well as information about the house and yard. Be descriptive. Note all special features. Use additional sheets of paper if needed.

For tips, click here. The following are some examples.

Write a detailed description of each photo you are sending. Tell us if you want us to use your captions or rewrite them (if needed). Important: write the number of each photo on the back of each photo, or in the file name if emailing photos.

Photo #1: _______________________________________________________________

Photo #2: _______________________________________________________________

Photo #3: _______________________________________________________________

Additional photos are $5 each

Photo #4: _______________________________________________________________

Photo #5: _______________________________________________________________

Photo #6: _______________________________________________________________

Circle the appropriate choice: Check    Money Order    Online Check

I'm emailing the photos: yes/no (send to acornwebworks@netscape.net)

I'm mailing the photos: yes/no

Note: To avoid errors, please write your name and property address on the back of the photos.

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If you are not submitting online, mail photos and payment/information form to:

Make check or money order payable to Acorn WebWorks.