Seller’s Property Information

Seller Intake & PA Disclosure

~12–15 min total

Step 1 of 14

Seller & Property

Seller Name(s) * Email * Phone Property Address * Property Type * Possession (Target) *

Property Details

Year Built Square Footage Bedrooms Bathrooms Lot Size (acres) Parking

Property Condition

Overall Condition Roof Age (years) HVAC Age (years) Water Heater Age Recent Updates Known Issues

Ownership & History

How long have you owned? Purchase Price Purchase Year Reason for Selling

Financial Information

Current Mortgage Balance Monthly Payment Mortgage Lender Property Taxes (annual) Homeowners Insurance (annual) HOA Fees (monthly)

Utilities

Heating Type Cooling Type Water Source Sewer Type

Features & Amenities

Basement Garage Pool Fireplace

Outdoor Features

Deck/Patio Fence Yard Type Sprinkler System

Kitchen & Bath

Kitchen Countertops Kitchen Appliances Bathroom Updates

Neighborhood

School District Walk Score (1-100) Proximity to Amenities Noise Level

Selling Preferences

Desired Closing Timeline Preferred Showing Method Vacant Property?

Additional Information

Special Features or Notes Reason for Choosing Us

Property Disclosures

I disclose all known material defects about the property * I have provided/disclose lead-based paint information (for homes built before 1978) * All information provided is true and accurate to the best of my knowledge *

Final Review & Submission

Ready to Submit?

Please review all information before submitting. You’ll receive a confirmation email and we’ll contact you within 24 hours.

Thank you for choosing Housing PA!