PROPERTY INFORMATION
* = required
* Street Address :
* City :
State : CT (property must be in CT)
* Zip Code :
* County : Fairfield Hartford Litchfield Middlesex New Haven New London Tolland Windham
* What Type Of House ? Single Family Multi-Family (2-4 units) Townhouse/Rowhome Condo Mobile Home Other
Total No. of Rooms :
* No. of Bedrooms :
No. of Bathrooms :
No. of Kitchens :
* Square Feet (Living Area) :
* Taxes :
For above info, what was source of info ? Tax Records MLS/Broker/Agent Zillow Owner Other N/A
* Is property vacant ? Yes No Unknown
* Is property currently listed for sale ? Yes No Unknown
If answered yes, listing type : By Owner By Broker/MLS Other Unknown N/A
If for sale, what is the asking price ? (enter numbers only, no commas)
If MLS listing, what is the MLS # ?
How would you describe the neighborhood ?
Comments or Additional Info :
OWNER INFORMATION
Owner Name(s) :
Address :
City :
State : AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VT WA WI WV WY N/A
Zip Code :
Phone Number :
E-mail Address :
REPAIR ESTIMATES
* After Repair Value (ARV) : (enter numbers only, no commas)
ARV Source : Tax Records Realtor comps Zillow Other N/A
* Repairs needed ? Yes No Unknown
If answered yes,
What is gross square footage ?
Gross Square Footage Source : Tax Records MLS/Broker/Agent Zillow Owner "Guesstimate" Other N/A
What is your repair estimate ? (enter numbers only, no commas)
Repair Estimate Method : "2-D" - sq ft multiplier method "3-D" - sq ft multiplier method "3-D" - itemized list method Other Unknown
Details about how this estimate was determined :
Foundation Condition :
Garage Condition (if applicable) :
RENTAL ESTIMATES
(Single family and 2-4 unit multi-families)
* Fair Market Rent (FMR): (enter numbers only, no commas)
FMR Source : 2019 HUD Fair Market Rents Realtor comps Zillow Other N/A
If multi-family, FMR above is total rent for all units. Please list total # of rooms, # of beds, # of baths, square footage and Fair Market Rent (FMR) for each unit on the table below:
PROPERTY SCOUT INFORMATION
* Lead Submitted By :
* E-mail Address :
Questions, Comments or Additional Info :
