Real Estate Data Questionnaire Form - Shawnee County

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DATA INVENTORY QUESTIONNAIRE
DATA CAN BE PROCESSED BY MAIL ONLY
DATE: ________________
OWNER NAME & MAILING ADDRESS:
PROPERTY ADDRESS:
FOR OFFICE USE ONLY
PARCEL:
MODEL:
NBHD:
Please read the instructions on the reverse side BEFORE answering the following questions.
1) Year Built: _________ Check if estimated ____
2) Story Height: (circle) 1 story, 1½ story, 2 story, 2½ story other _______
3) Attic/Upper Level: Is there a permanent staircase? Yes___ No___ Living Area ______sq ft Unfinished Area ______sq ft
4) Heating: System type - Forced Air___ Elec. Baseboard___ Hot Water___ Heat Pump___ Solar___ Space Heater___
Fuel type - Gas_____ Electric_____ Oil_____ Coal_____ Solar_____ Wood_____ None_____
5) Air Conditioning: Central (with ducts) _____ Window/ Wall Units_____ None_____
6) Number of Bedrooms (Not including basement): Bedrooms______ Converted Bedrooms (dens, studies, etc.) _________
7) Plumbing (all floors including basement): Full Baths____ 3/4 Baths (Shower-no tub) ____ 1/2 Baths_____
Additional Plumbing Fixtures: Separate Tub/Shower____ Double Vanity Sinks____ Water Heaters____
Laundry Sink_____ Spa Tub______ Bidet_____ Wet Bar_____ Other_____________________________________
8) Basement: None___ Crawl Space___ Part___ Full___ Is basement finished? Yes ____No ____
If Yes, What is the size of the finished area? _________sq ft or dimensions: _____ft. wide by _____ft. long
Please check the type of finish that applies:
Walls: Sheetrock ____ Paneling ____ Painted Cement ____ Other ____________________________________________
Ceiling: Sheetrock ____ Drop Ceiling ____ Other __________________________________________________________
Floor: Carpet ____ Tile ____ Other ________________________
Is the quality of finish similar to the main living area? Yes ____ No ____
Number of rooms in basement: Bedrooms (with egress window or walkout basement) ____ Other ____
9) Fireplaces: (Number of) Brick/Stone________ Prefabricated Built-in Units________ Free Standing______Direct Vent_____
10) Additions/Renovations (please describe)_________________________________________________________________
Cost $___________ Date___________
11) Exterior Remodeling (within the last 10 years): Windows___ Roof___ Siding___ Foundation___
Cost $__________ Date__________
12) Interior Remodeling (within the last 10 years): Kitchen___ Bath___ Electrical____ Plumbing___ Heating/Cooling____
Cost $__________ Date__________
Owner____ Tenant____ Agent____ Manager____
Is this a rental property? Yes____ No____
Monthly Rent $_________ Utilities included in rent? Yes____ No____
Additional Comments:
Please print name__________________________________ Signature_________________________________________
Weekday Phone Number between 8:00 A.M. & 5:00 P.M.___________________
1515 NW Saline, Suite 100  Topeka, Kansas 66618-2838  Phone (785) 233-2882  Fax (785) 251-4903
e-mail:
snappraiser@snco.us
web:

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