This form must be completely filled out and signed. Thank you.
Name:
Date:
Property Address:
Home Phone :
Work Phone:
Current Address if different:
Fax Number:
e-mail Address:
Has your property been appraised by Palo Verde Appraisals in the
past?
Yes: No:
The following is required prior to the appraisal:
· Survey – As of May 3, 2000.
· Floor Plan – As of May 3, 2000.
· State of Condition as of May 3rd 2000
- See attached.
Comments:
Payment due at the time
of inspection.
Cost: $400.00 plus tax.
Note: Property owner will be the exclusive owner of the inspection.
BUILDERS/STRUCTURAL INFORMATION
Yes No N/A D/K
1.What year was the home built? ____________________________
2, Is this a site-built home?
3. Type of construction: ___________________________________
4. Any earth movement, subsidence, or settlement problems?
5. Has major damage occurred to the property or
any structure on the property?
6. Any problems with interior walls, ceilings,
doors, windows, floors, or attached floor coverings?
7. Type offloor under
carpets or linoleum: ____________________
8. History of wood infestation: insect
or tree root problems? Specify date and type of last treatment:
9. Any past or present problems with driveways;
walkways; sidewalks or patios (such as large cracks; potholes or
raised sections?) If so; what was done about it?
10. Any problems with retaining walls cracking
or bulging?
11. Any significant cracks in foundations; exterior walls; interior
walls; slab floors; ceilings; chimneys; fireplaces; decks or garage
floors?
12. Any doors or windows that are inoperable
or which may interfere with ingress or egress?
13. Any structural wood members below soil level?
Yes No N/A D/K
14. Any past or present flowing or drainage problems on the property? On adjacent properties? Any standing water after rainfalls? Any active springs? Any water or moisture in crawlspace? basement ? Garage? Explain.
15. Landfill on any portion of the property?
For additional information
or further explanation (indicate #)
PLUMBING
Yes No N/A D/K
4. Type of water pipes (copper; lead; pvc; galvanized; etc.)
___________________________________________________
2. Any water pressure problems?
3. Any plumbing system problems; leaks; freezing?
5. Any bathroom
ventilation problems?
6. Approximate
age of hot water heater:_______ Capacity: ______
Fuel source: _______
7. Any domestic hot water problems?
8. Type of sewage system (sewer; septic; cesspool; holding
tank; etc.)_________________________________________________
Public Private . Planned and
approved sewer system?
Fees: _________________ Per __________________________
a. If private; name of service company: ____________________
b. If private; date last pumped: ________ Size of tank : ________
Location of tank: ___________ Date installed: ____________
5. Smoke detectors? How many? _______ 11OV Battery
Any problem?
Yes No N/A D/K
5. Sump pump?
Yes No N/A D/K
7. Any problems with sump pump?
8. Kitchen range hook-up Electric Gas
9. Clothes dryer hook-up; Electric Gas
10. Refrigerator water line?
11. Any problems with built-in appliances?
12. Have any pets resided in the home?
13. Any pet odors?
For additional information
or further explanation (indicate #)
UTILITIES
Yes No N/A D/K
1. Natural gas:
In house
In street
To property line
2. Electricity:
In house
In street
To property line
3. Telephone:
In house
In street
To property line
4. Cable TV:
In house
In street
To property line
5. City water:
In house
In street
To property line
6. Community water:
In house
In street
To property line
7. City sewer:
In house
In street
To property line
8. Community sewer:
In house
In street
To property line
9. Any access to service problems?
For additional information or further explanation (indicate #)
CONDOMINIUMS-COMMON INTEREST DEVELOPMENTS
Yes No N/A D/K
1. Please check the availability of copies of the following documents;
Covenants, Conditions, and Restrictions or Declaration of
Condominium ; Association Bylaws Articles of Incorporation of Association; Current financial statement of Association; regulations currently in force Minutes of Board Meetings
Yes No N/A D/K
2. Does the Condominium Declaration contain any resale restrictions?
3. Does the homeowners association have a first right of refusal?
4. Association Fees: $ _________________ per ________________
What is included in the association fees? ___________________
5. Any contemplated future dues increases of special assessments?
If so, give details: ________________________________________
6. Any pending or threatened litigation either by or against
the homeowners association?
7. Are all dues, assessments, and taxes current?
8. Security: Intercom Closed circuit TV Guards
Electric gate Other: _______________________________________________
9 Does each unit have its own designated parking space?
Yes No N/A D/K
10.Property Management Company and Address:
______________________________
______________________________
______________________________
______________________________
For additional information or further explanation (indicate #)
ENVIRONMENTAL
Yes No N/A D/K
1. Any noticeable continuous or periodic odors (such as from
waste, agriculture, industry, etc.)?
2. Any excessive noises (such as airplanes, trains, trucks, freeways,
etc.)?
3. Any hazards or hazardous materials on the property (such as
asbestos, dumps, pesticides, radon, underground fuel storage tanks
or leaks)?
4. Any hazards or hazardous materials in close proximity to
the property (such as lead, asbestos, dumps, pesticides, radon,
underground fuel storage tanks of leaks)
For additional information or further explanation (indicate #)
RENTAL INFORMATION
Yes No N/A D/K
1. Is the property rented or occupied by a tenant? If yes, lease
expiration date: ________________________________________
2. Does the tenant have the right to extend the rental agreement?
3. Are security deposits or prepaid rents being held? By whom
and how much?