Dwelling Information Card

Please answer all applicable questions. Fields marked with * are required.

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Owner Name:

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Property Address:

Email Address:

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Phone Number:

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Best Time to Contact You at this number:

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Dwelling Type:
 Single Family Multi-Family Condo  Other

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Dwelling Style:
 2 Story 1.5 Story 1 Story Bi, Tri, or Quad Level Home Log Home Other

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Year Built? (Approx.)

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What condition is the dwelling currently in?
 Excellent Good Average Fair Poor Unlivable

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Construction Type:
 Frame  Brick Masonary+Frame Stucco Aluminum/Vinyl Stone Asbestos Block Other

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Foundation:
 Slab Crawl Full Bsmt Partial Basemt

If the house has a basement, is any portion finished?

How much of the area is finished?



What Type of Finish is in the Basement?

Flooring:
 Concrete Carpet Carpet w/Trim Tile/Linoleum

Walls:
 Concrete Paneling Drywall

Ceiling:
 Unfinished Suspended/Drop Drywall

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Is there an attic with permanent stairs?

If yes, is the attic finished?

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How many bedrooms do you have?

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How many full baths do you have?

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How many half baths do you have?



How many of each of these are in the house?

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Laundry sinks

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Bathrooms with two sinks

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Whirlpool/Jacuzzi tubs

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Kitchen Sinks

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Wet Bars

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Heating Type:
 Gas Electric Propane Oil Geo-Thermal Other

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Does this property have central air?

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How many fireplaces do you have?

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Are there any other permanent structures on the property that are not attached to the house?
(Garage, Pole Building, etc)


Please list the structure and approximate size:

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Are there any permanent structures that have been added or removed in the last six years?



Please list or describe:

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Are you planning any major repairs and/or remodeling?



Please describe:

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Was/Is this property currently listed for sale?

When and how long? (Approx.)

At what price?


By submitting this form, I hereby certify the information provided to the Clark County Auditor’s office is to the best of my knowledge regarding this particular property. I hereby certify that I am the owner of said residence.