Home Connection | Professional Builder Services

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Today's Date

Property Address Street Address City

State ZIP County

Contact Info

Broker Company Phone # Mobile # Fax # email
REO # Loan # Lock Box Code

Property Type

Single family detached Condo/Townhouse/Co-Op Multi-family (# units)
Approx. sq. ft.	Approx. lot size (W×L)
Interior Trashout	Exterior Trashout	Cleaning	Lawn/Landscape

Property Condition

Utilities (check if on) Electric Water Gas

Estimate of exterior debris Light Medium Heavy

Personal property remaining?

Yes (instructions below)

Home Connection - Serving Northern California - Licence #762478