Model Of Home
 

  Size Of Home
 

  Finance Company?
 

Mobile Home Park Where Your Home Is Located?

Choose Yes Or No To All Features That Apply

      Range/Oven?        Yes No                  Refrigerator?           Yes No

      Freezer?               Yes No                  Washer?                  Yes No

      Dryer?                   Yes No                  Dishwasher?            Yes No

     Microwave?           Yes No                  Disposal?                 Yes No

     Wet Bar?               Yes No                  Gas Furnace?          Yes No

     Electric Furnace?  Yes No                  Gas Water Heater?  Yes No

     Garden Tub?         Yes No                  Fire Place?              Yes No

     Storms/Screens?   Yes No                   Vinyl Siding?       Yes No

     Window Air?         Yes No                   Central Air?         Yes No

     Ceiling Fans?        Yes No                   Sky Lights?         Yes No

     Curtains/Drapes?   Yes No                   Shades/Blinds?   Yes No

     Wood Burner?       Yes No                   Expando?            Yes No

     Awnings?              Yes No                    Porch?                Yes No

     Deck?                    Yes No                   Carport?              Yes No

     Shingled Roof?     Yes No                    Shed?                 Yes No

Additional Comments