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Owner/Agents Name _________________________________________
Property Being Sold:
Park/ Community Name _______________________________________
Property/Park Address _________________________________________________________
Lot# _____ City _____________________ State ________ Zip ________
Owners Address ______________________________________________________________
Lot# _____ City _____________________ State ________ Zip ________
Contact to Show _____________________________________________
Phone #1 (____)________________ Phone #2 (____)________________
E Mail Address ________________________
Home:
Price $______________ Bedrooms ____ Baths _____ Sq ft ___________
Yr Built ______ Manufacturer ___________________ Size _____x_____
Taxes ___________ Tags ___________ Ad Valorium Tax ____________
Type of Roof ____________ Siding ____________ Carport ___________
Awn __________ Shed size _____x_____ Skirting _________
Air Condition: CHA _____________ Wall _______ Heat ____________
Size of Elec Service _______ amps. Breakers________ Fuses _______
Rooms: size Features
Living Room ______________ _________________________________
Dining Room ______________ _________________________________
Kitchen ______________ _________________________________
Family Room ______________ _________________________________
Screen Room ______________ _________________________________
Bedroom 1 ______________ _________________________________
Bedroom 2 ______________ _________________________________
___________ ______________ _________________________________
___________ ______________ _________________________________
___________ ______________ _________________________________
Selling Furnished ____________ Part Furn __________ Unfurn ________
Leaving (circle) Refrigerator Stove/Oven Dishwasher Microwave
Garbage Disposal Trash Compactor Washer Dryer Bread Maker
Other ______________________________________________________
Community: Senior 55+ _______ Adult ________ Family ________
Type - Resident Owned ________ Rental _________ Other ___________
Explain _____________________________________________________
Lot Size ______x______ Maintenance Fee $_________ Rent $_________
Fees include (Y/N) or add cost in space:
water & sewer ______ trash _____ lawn ______ cable _____ other _____
Clubhouse ____ Swimming Pool ______ Heated ____ Spa/Hot Tub _____
Shuffleboard _________ Golf Course _________ Exercise Room ______
Pets/Size __________________ May you rent out home ______________
Other Amenities ______________________________________________
____________________________________________________________
Manager Name & Phone _______________________________________
Terms: Cash ___ Owner Financing _______________________________
Write a special ad for your home: ________________________________
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Owners Authorization:
I, ______________________________________ (print name) as legal owner/agent
for owner hereby give authorization to you to place any and all above information
and/or photos on the internet.
Sign _____________________________________________
Date _____________
WITH Photos, Form and a check for $29.95 to Payable to:
John Frejeris
c/o XpectA, Inc.
P.O. BOX 150632
Grand Rapids, Mi 49515
For your own DOT-COM add $20.00 for 1 year (renew if home not sold)
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2001 - 2007XPECTA, INC.
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