NH MLS Input Form and Seller Questionnaire Name* First Last Your Email Address* Address* Street Address City Telephone CompanyElectric CompanyApproximate Monthly Electric CostCable CompanyHeating Oil ProviderPropane ProviderFurnace Serviced ByApproximate Annual Heating CostGarbage Pickup CompanyLawn Care CompanyElementary SchoolMiddle/ Intermediate SchoolHigh SchoolSchool Bus Pickup Time : HH MM AM PM Internet ProviderDriveway Plowed BySeptic Serviced ByRecent Yearly TaxesSeller's Favorite ThingsSeller ImprovementsPlease list out any recent improvements you have made to your home in the box above or send word document via email to info@nhfinehomes.comMLS Input FieldsPlease check all the fields in the sections below that apply to your property.Basement* Bulkhead Climate Controlled Concrete Crawl Space Daylight Dirt Exterior Stairs Finished Frost Wall Full Gravel Interior Stairs Locked Storage Space No Tenant Access None Other Partial Partially Finished Roughed In Slab Storage Space Stubbed In Sump Pump Unfinished Walk Out Walk Up Construction* Earth Berm Existing Green Feature See Remarks Insulated Concrete Forms Log Home Manufactured Home Masonry Modular Prefab Other Post and Beam Steel Frame Stick Build Offsite Timberframe To Be Built Wood Frame Driveway* Brick/Pavers Circular Common/Shared Concrete Crushed/Stone Dirt Gated Gravel Heated None Other Paved ROW Electric* 100 Amp 150 Amp 200 Amp 220 Plug 3 Phase 60 Amp Circuit Breaker(s) Combo Fuses Generator None Off Grid Off Peak Other Wind/Solar Wired for Generator Equipment/Appliances (included with the sale) Air Conditioner Air Filter/Exch Sys Antenna CO Detector Central Vacuum Compactor Cook Top-Electric Cook Top-Gas Dehumidifier Dishwasher Disposal Double Oven Down-draft Cooktop Dryer Exhaust Hood Freezer Gas Heat Stove Gas Heater Kitchen Island Microwave Mini Fridge None Other Pellet Stove Radon Mitigation Range-Electric Range-Gas Refrigerator Satellite Dish Security System Smoke Detector Trash Compactor Wall Oven Washer Window Treatment Wood Cook Stove Wood Stove Exterior* Aluminum Asbestos Asphalt Block Board and Batten Brick Cedar Cement Clapboard Composition Concrete Granite Log Home Log Siding Masonite Metal Other Shake Shingle Stone Stucco T-111 Vertical Vinyl Wood Exterior Features Balcony Barn Basketball Court Beach Rights Boat Mooring Boat/Slip Dock Day Dock Deck Dog Fence Dry Berth Full Fence Gazebo Golf Course Guest House Handicap Modified Hot Tub Invisible Pet Fence Irrigation Meter Irrigation System Other Out Building Partial Fence Patio Pool-Above Ground Pool-In Ground Porch Porch-Covered Porch-Enclosed Private Dock Satellite Screened Porch Shed Storm Windows TV Antenna Tennis Court Underground Utilities Window Screens Fee Includes Cable Cooling Electric Heat Hot Water Landscaping Other Plowing Recreational Sewer Trash Water Floors* Bamboo Brick Carpet Ceramic Tile Concrete Hardwood Laminate Manufactured Marble Other Parquet Slate/ Stone Softwood Tile Vinyl Foundation* Axle Below Frostline Block Brick Concrete Float Slab Granite Gravel /Pad Hitch Insulated Concrete Forms Marble None Other Post/Piers Skirted Slab w/Frst Wall Stone Treated Lumber Wheels Wood Garage/Parking 1 Parking Space 2 Parking Spaces 3 Parking Spaces 4 Parking Spaces 5 Parking Spaces 6+ Parking Spaces Assigned Attached Auto Open Barn Carport Deeded Detached Direct Entry Driveway Finished Heated None Off Premises On Street Other Permitted Rec Vehicle Storage Above Unassigned Under Visitor Heat Fuel* Coal Electric Gas-LP/Bottle Gas-Natural Geothermal Heat Included kerosene Multi Fuel None Oil Other Pellet Solar Wood Wood Pellets Heating/Cooling* Baseboard Central Air Direct Vent Electric Floor Furnace Geothermal Gravity Heat Included Heat Pump Hot Air Hot Water Humidifier In Ceiling In Floor Multi Zone None Off Grid Other Passive Solar Radiant Radiant Electric Radiator Rented Burner Rented Heater Space Heater Steam Stove Unvented Gas Heater Wall AC Wall Furnace Whole House Fan Window AC Wood Boiler Interior Features* 1 Fireplace 1 Stove 1st Floor Laundry 1st Floor Master BR 2 Fireplaces 2 Stoves 2nd Floor Laundry 2nd Kitchen 3+ Fireplaces 3+ Stoves Alternative Heal Stove Attic Attic Fan Attic-Finished B-fast Nook/Room Balcony Bar Blinds Cable Cable Internet Cathedral Ceilings Cedar Closet Ceiling Fan Central Vacuum Coal Stove DSL Den/Office Dining Area Draperies Eat-in Kitchen Elevator Exercise Room Family Room Fireplace-Gas Fireplace-Screens/Equip. Fireplace-Wood Formal Dining Room Foyer Furnished Gas Heat Stove Gas Stove Great Room Handicap Modified Hearth Home Warranty Hot Tub In Law Apartment In Law Suite Intercom Island Kitchen/Dining Kitchen/Family Kitchen/Living Laundry Hook-ups Lead/Stain Glass Library Living Room Living/Dining Loft Master BR with BA Mudroom Multi Phonelines Natural Woodwork Other Pantry Playroom Recreation Satellite Internet Sauna Sec Sys/Alarms Security Door Skylight Smoke Det- Battery Powered Smoke Det- Hardwired Smoke Det Hdwired w/Batt Soaking Tub Sprinkler System Studio/Workshop Sunroom Theatre Room Vaulted Ceiling Walk-in Closet Walk-in Pantry Wet Bar Whirlpool Tub Wood Stove Wood Stove Hook-up Wood Stove Insert Lot Description* Abuts Conservation Abuts Golf Course Adjoins St/Natl Forest Agricultural Prop Airport Community Alternative Lots Avail. Alternative Styles Avail. Business District City Lot Common Acreage Condo Development Conserved Land Corner Country Setting Cul-De-Sac Dairy Prop Deed Restricted Easement Farms Fenced Fields Horse Prop Island Properties Lake Rights Lake View Landscaped Leased Leased Land Level Mountain Mountain View Near Bus/Shuttle Near Railroad Other PRD/PUD Pasture Pond Preservation District ROW to Water Rural Setting Secluded Ski Area Ski Trailside Sloping Snowmobile Trail Subdivision Trail/Near Trail VAST Valley View Village Walking Trails Water View Waterfall Waterfront Wooded Wooded Setting Working Farm Negotiable Air Conditioner Antenna Dishwasher Dryer Freezer Gas Heater Generator Hot Tub Kitchen Island Microwave Mini Fridge Other Pool Table Range-Electric Range-Gas Refrigerator Satellite Shed Trash Compactor Washer Window Treatments Wood Stove Occupant Restrictions # of Occupants 55 and Over 62 and Over Age Limits Cert. Adult No Pets Pets Allowed Pets-Cats Allowed Pets-Dogs Allowed Pets-Other Roads* Association Cul-de-Sac Dead End Dirt Gravel None Other Paved Private Public Right of Way Seasonal Shared Roof* Bitumen Channel Corrugated Fiberglass Flat Membrane Metal Other Pitched Rolled Shake Shingle-Architectural Shingle-Asphalt Shingle-Fiberglass Shingle-Other Shingle-Wood Slate Standing Seam Tar and Gravel Tile Sewer* 1000 Gallon 1250 Gallon 1500+ Gallon 500 Gallon 750 Gallon Alternative System Cesspool Community Concrete Deeded Drywell Grey Water Holding Tank Leach Field Metal Metered None Other Plastic Private Public Public Available Pump Up Replacement Leach Field Septic Shared Unknown Style* A Frame Adirondack Antique Bungalow Cabin Cape Carriage Chalet/A Frame Colonial Condex Contemporary Conversion Cottage/Camp Deck House Detached Double Wide Duplex End Row End Unit Farmhouse Federal Flat Freestanding Gambrel Garden Garrison Greek Rev Ground Floor High Rise Historic Vintage Historical District Hotel Inside Row Log Manuf./Mobile Modern Architecture Modified Multi Level New Englander Other Raised Ranch Ranch Rehab Needed Reproduction Saltbox Single Wide Split Entry Split Level Straw Bale Studio Top Floor Townhouse TriLevel Tudor Victorian W/Addition Walkout Lower Level Yurt Suitable Use/Land Type (Farms) Agriculture/Produce Bed and breakfast Dairy Farm Horse/Animal Farm Land: Mixed Land: Pasture Land: Tillable Land: Woodland Maple Sugar Not Applicable Orchards Other Water* Cistern Community Deeded Drilled Well Driven Point Dug Well Infrared Light Metered None Other Private Public Purifier/Soft Reverse Osmosis Shared Spring Unknown Water Heater* Domestic Electric Gas-Lp/Bottle Gas-Natural Kerosene None Off Boiler Oil On Demand Other Owned Rented Separate Solar Tank Tankless Wood