Christina Cain
Please give the following information for the property under consideration
First Name Last Name Street Address Address (cont.) City State/Province Zip/Postal Code Country Work Phone Home Phone FAX E-mail
Click to fill out form for a Manufactured home
Year Built
Living Area (Sq. Ft.)
Lot Dimensions
Acreage
Bedrooms
Baths
List other Rooms
Heating
none Central Space Panel Gas None
Cooling
none Central Window None
Foundation
none Slab Pier
Exterior
none Brick Wood Vinyl
Parking
Garage none Carport Open
Amenities
Deck Fireplace Guest House Outside Kitchen Patio Porch Pool Workshop Other
Roofing
none Asphalt Shingle Metal Other
Roof Condition
Good none Above Average Average Other
Water System
none Municipal Community Water Well
Sewer System
Municipal none Community Sewage Plant Septic System
Fill out for manufactured homes:
Tongue/Hitch
none Attached Removed
Wheels
Axles
Anchoring
none Augur Rods Other
Other
none Blocks on Slab Blocks on Runners Blocks on Ground
Manufacturing Tag: "1" Section #
"2" Section #'s
VIN #
Year
Model (Brand Name)
Name of Person Requesting Information
Name Title Organization Work Phone Home Phone E-mail
Date of Request
Value Estimate
Realtor Association of Acadiana
