Form Center

2. Property Assessment Review
6. First Name:*
7. Last Name:*
9. Property Address:
11. City:*
12. State:
13. Zip:
15. How do you want to be contacted:*

    1. Cell Phone
    2. Home Phone
    3. Work Phone
    4. Email
16. Contact Information:*

    Please enter the Phone Number or Email Address you want us to contact you at.

18. Parcel Number(s) (if known):
20. City of Township that the property is located in:*
    -- Select One --AmadorChisago LakeFish LakeFranconiaLentNesselRushsebaShafer TownshipSunriseCenter CityChisago CityHarrisLindstromNorth BranchRush CityShaferStacyTaylors FallsWyoming

    (Note: The City for the mailing address is not necessarily the location of the property, i.e. the Center City Post Office delivers mail into the townships of Franconia, Chisago Lake and Amador besides delivering in the City of Center City.)

22. USE OF PROPERTY - Answer "Yes" or "No" for the following:
24. Residential:*

    1. Yes
    2. No
25. Agricultural:*

    1. Yes
    2. No
26. Seasonally Used:*

    1. Yes
    2. No
28. Owner Occupied:*

    1. Yes
    2. No
29. Relative Occupied:*

    1. Yes
    2. No
30. Rented:*

    1. Yes
    2. No
32. PROPERTY INFORMATION
34. Year Built:*
36. Select ALL that apply to your home:
38. Flooring:*

    1. Carpet
    2. Hardwood
    3. Vinyl
    4. Tile
    5. Laminate / Vinyl Plank
    6. Finished Concrete
    7. Other
39. Flooring Type: (Other)*
40. Walls:*

    1. Drywall
    2. Plaster
    3. Log
    4. Paneling
    5. Other
41. Wall Type: (Other)*
43. Foundation:*

    1. Concrete Block
    2. Poured Concrete
    3. Wood
    4. Rubble/Stone
    5. Concrete Slab
    6. Piers
    7. Other
44. Foundation Type: (Other)*
45. Heating:*

    1. Forced Air Furnace
    2. Hot Water Boiler
    3. In-Floor: Whole House
    4. In-Floor: Basement Only
    5. Geotherman
    6. Space Heater
    7. Wood Furnace
    8. Other
46. Heating Type: (Other)*
48. Air Conditioning:*

    1. Central Air
    2. Wall Mount
    3. Window Unit
    4. None
    5. Other
49. Air Conditioning Type: (Other)*
50. Kitchen Countertops:

    1. Laminated (Formica)
    2. Ceramic Tile
    3. Granite or Quartz
    4. Other
51. Kitchen Countertops Type: (Other)*
53. Fireplaces:*

    1. Gas
    2. Masonry
    3. Prefab
    4. Electric
    5. None
55. Gas: How many?*
56. Masonry: How many?*
57. Prefab: How many?*
58. Electric: How many?*
60. Number of Bathrooms
62. Half (powder room):*
    -- Select One --01234 or more

    Sink & Toilet

63. 3/4 Bath:*
    -- Select One --01234 or more

    Sink & Toilet, & Tub OR Shower

64. Full Bath:*
    -- Select One --01234 or more

    Sink, Toilet, Tub/Shower Combo

65. Deluxe Bath:*
    -- Select One --01234 or more

    Sink, Toilet, Tub & Shower

67. Number of Bedrooms
69. Basement:*
    -- Select One --012345 or more
70. Main Floor:*
    -- Select One --012345 or more
71. 2nd Story:*
    -- Select One --012345 or more
73. Basement Type:*

    1. Slab
    2. Crawlspace
    3. Lookout
    4. Walkout
75. Basement Finish:
77. Year of last remodel / update to house / cabin:
78. What was updated in the Remodel:
80. Year of Kitchen Remodel:
81. What work was completed in the Kitchen Remodel:
83. Year of Bathroom Remodel:
84. What work was completed in the Bathroom Remodel:
86. Year of Other Remodel:
87. What work was completed in the Other Remodel:
89. Other Buildings or Outbuildings (additional houses, garages, pole sheds, barns, granary, grain bins, etc.):

    Please indicate type of structure/size of the building (i.e.: garage 24x24, barn 36x72, grain bin 7500 bushels)

91. Comments about your property:
93. Thank you for filing out this questionnaire. We will be contacting you as soon as possible via phone or email as requested.
Leave This Blank:


95. 1. Receive an email copy of this form.
96. Email address

    This field is not part of the form submission.

97. Submit

* indicates a required field