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2. We are now involved in updating our Real Estate records as part of the maintenance program for continuing reappraisal as mandated by law in Kansas. Please complete the questionnaire and then click submit. If you need assistance, please call our office at 785-537-6310 and we will assist you.
4. 
   
6. Property Information
8. 
   
10. Owner's Name:*
12. Property Address:*
14. Year House Built:*
16. Year of Remodeling (if any):
18. Cost of Remodeling: $
20. # of units:
22. Monthly Rent (if applicable): $
24. Basement Type:*

    1. None
    2. Crawl Space
    3. Full
    4. Partial
26. If Partial Basement, list size:
28. Cooling System:*

    1. Central
    2. Window Units
    3. None
30. 
    
32. Heating System:*

    1. Forced Air
    2. Gravity Flow
    3. Hot Water
    4. Heat Pump
    5. Solar
    6. Floor Furnace
    7. Wall Furnace
    8. Stoves
    9. Geo Thermal
    10. None
34. 
    
36. Heating Fuel:*

    1. Gas
    2. Electric
    3. Oil
    4. Coal
    5. Solar
    6. Wood
    7. None
38. Fireplace:*
    -- Select One --NoneMasonryPrefabricated MetalFree Standing
40. # of Fireplace Units:*
    -- Select One --01234
42. # of Chimneys:*
    -- Select One --01234
44. Total Number of Rooms, Including Basement:
46. (Do NOT include bathrooms or hallways)
48. 
    
50. Bedrooms:*
    -- Select One --0123456
52. Living Rooms:*
    -- Select One --01234
54. Separate Dining Room:*
    -- Select One --012345
56. Living Room/Dining Room Combination:*
    -- Select One --012345
58. Kitchens:*
    -- Select One --01234
60. Kitchen/Dining Room Combination:*
    -- Select One --01234
62. Den, Study, etc:*
    -- Select One --01234
64. Family Room:*
    -- Select One --01234
66. Recreation Room:*
    -- Select One --01234
68. Pantry:*
    -- Select One --01234
70. Utility:*
    -- Select One --01234
72. Which of the Total Rooms Listed Above are in the Basement?

    1. Bedrooms
    2. Living Room
    3. Dining Room
    4. Kitchen
    5. Den, Study, Etc
    6. Family Room
    7. Recreation Room
    8. Pantry
    9. Utility
74. Number of Bathrooms:
76. (Full Bath = sink, stool, shower OR tub) (Half Bath = sink and stool)
78. 
    
80. Full Baths:*
    -- Select One --01234
82. Half Baths:*
    -- Select One --01234
84. # of Hot Water Heaters:
    -- Select One --0123
86. # of Laundry Sinks:
    -- Select One --0123
88. # of Kitchen Sinks:
    -- Select One --01234
90. # of Vanities w/Extra Sinks:
    -- Select One --0123
92. # of Spa Bathtubs:
    -- Select One --01234
94. Other Information:
96. Central Vacuum System:
    -- Select One --NoYes
98. Attic:
    -- Select One --NoneUnfinishedPartially FinishedFully Finished
100. Attic Dimensions if Partially or Fully Finished:
102. Access to Attic:
     -- Select One --NoneStep LadderFold Down StairwayPermanent Stairway
104. Attic Use:
     -- Select One --Not UsedStorage OnlyLiving Area
106. Dwelling Insulation:

     1. Side Walls
     2. Ceiling
108. Predominate Floor Covering:
     -- Select One --CarpetHard WoodSoft WoodLinoleum/TileOther
110. Predominate Interior Walls:*

     1. Sheetrock
     2. Plaster
     3. Brick
     4. Wallboard
     5. Plywood Paneling
     6. Other
112. Attached/Built In Garage:
     -- Select One --NoYes
113. # of Cars:
     -- Select One --0123
115. Basement Garage:
     -- Select One --NoYes
116. # of Cars:
     -- Select One --0123
118. Is any part of the Basement Finished?
     -- Select One --NoYes
120. Finished Basement Dimensions:
122. Finished Basement Dimensions that are
     the same Quality as the Main Floor:
124. 
     
126. Finished Basement Dimensions that are
     Recreation Room Quality?
128. (Recreation is a large open area of lower quality finish than main floor.)
130. 
     
132. Signed (Enter your Name):*
134. Today's Date*
     Today's Date
136. Telephone Number (Day):*
138. Email Address:
Leave This Blank:


140. 1. Receive an email copy of this form.
141. Email address

     This field is not part of the form submission.

142. Submit Submit and Print

* indicates a required field