Type of Property: Single Family Residence Multi-Family home
*We are sorry but we do not Certify Commercial property at this time

If your home is a multi-family home, how many units are there? 1 2 = Add $100 to cost 3 = Add $200 to cost 4 = Add $300 to cost * We are sorry but we do not Certify property with more than 4 units at this time

Occupancy Type: Owner Occupied Second Home Investment Property

Approximate sqaure footage of your home: 500-2,100 SF 2,100-2,800 SF 2,801-3,800 SF 3,801 SF plus

Estimated value of Home: Less than $250,000 $250,000-$450,000 $450,000-$650,000 $650,000-$850,000 Greater than $850,000 = +$100

Number of Bedrooms: 1 2 3 4 4+

Number of Baths: 1 2 3 4 4+

Style of Home: Cape Cod Colonial Ranch Split Level Gambrel Contemporary Custom Craftsman

Number of Floors: 1 2 3 4 4+

Does your home have a Basement?: Yes No

Is your Basement finished?: Yes No N/A

Does your home have a Garage? Yes No

If yes, is the garage attached or detached? Attached Detached

If you plan on selling your home will you be working with a Real Estate Agent? Yes No

Will you need other services to assist you in selling your home? Yes No

How did you hear about Certified Homes? Radio Newspaper TV Referral Word of mouth

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I certify that the information given above is accurate and complete.

I agree to the Terms & Conditions set forth by Certified Homes.
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