Full Name

Phone Number

Email

Street Address

City

Postal Code

When do you plan to move? When do you plan to move? Immediately 1-3 months 3-6 months 6 months to year Not sure

Type of home/property Type of home/propertyFreeholdCondominiumRecreational or Vacant LandCommercialOther

Freehold Type Freehold Type Detached Semi-detached Attached, row or town house Bungalow Other

Number of storeys Number of storeys11.522.53Backsplit or sidesplit

Condominium type Condominium type Apartment Townhouse Loft Co-ownership or co-op Other

Number of bedrooms Number of bedrooms Bachelor / studio 1 2 3 4 5+

Number of Bathrooms Number of Bathrooms 1 2 3 4 5+

Do you have parking? Do you have parking? Yes No

Type of parking (select all that apply) Type of parking (select all that apply) Underground Garage Private Driveway Shared Driveway Other

Number of parking spots

Rate the overall condition of your home Rate the overall condition of your home12345678910

Describe basement (if applicable)

Lot frontage (if applicable) Lot frontage (if applicable)< 9 feet10-15 feet16-20 feet21-25 feet26-30 feet31-40 feet41-50 feet51+ feet

Lot depth Lot depth<20 feet21-40 feet41-60 feet61-80 feet81-100 feet101-120 feet121-140 feet141-200 feet200+ feet

Approximate age of home Approximate age of home 0-5 years 6-10 years 11-20 years 21-50 years 51-100 years 100+ years

Anything else you'd like to add about your home?