Enter the following details as accurately as possible, then click on send. Or, print it out, complete it, and mail or fax to:

Pierre One Real Estate
PO Box 571
Pierre, SD 57501
FAX (605) 945-1078

The more accurate and complete the information, the more you may rely on the results sent to you. Results of your evaluation can be sent via phone, fax, e-mail or regular mail -- whichever is the most convenient.

All fields with an * are required.

Your Name*
Property Address*
City*
 State* Zip Code
Day Telephone*
(with Area Code)
Evening Telephone
(with Area Code)
 FAX Number
Your e-mail Address*
Residential Type
 Duplex
Mobile Home
Vacant Land
 Townhouse
Single Family Detached
Single Family Attached
Style of Home
 1 * Story
2 * Story
Bi-Level
Bungalow
 Two Story Split
Split 3 Level
Split 4 Level
Two Story
Other
Type of Basement
 Full
*
Half
Crawlspace
 Partial
Slab
Walkout
None
Basement Development
 Fully Finished
Partially Finished
 Insulated Only
Unfinished
Other
Square Footage
Parking
 1 Car Attached Garage
1 Car Detached Garage
2 Car Attached Garage
2 Car Detached Garage		 3 Car Attached Garage
3 Car Detached Garage
Multi Car Garage
Other
Eat-in type kitchen?
 Yes No
Number of Bathrooms
 Full: Half:
Master Bedroom Suite?
 Yes No
Number of Bedrooms
 Above Ground: Below Ground:
Extras
 Central Air Conditioning
Window Air Conditioning
Central Vacuum
Roughed-In Vacuum
Newer Roof
Newer Carpet
Newer Flooring
Newer Windows
 Remodeled Kitchen
Remodeled Bathroom
Fresh Interior Paint
Fresh Exterior Paint
Fireplace
Deck
Concrete Patio
Permanent Siding
Others (list below)
Age of Home
Condition of Home:
 Excellent
Good		 Fair
Poor
Improvements done since purchased
(list all in detail)
I prefer appointments:
 Days Evening
How long have you owned your home?
I am thinking of a move in:
 Now
in Six months
Next Year
Other
I am thinking of moving to:
 Up in Price in the Pierre Area
Down in Price in the Pierre Area
Away from the Pierre Area
If away, to what City/State/Country?
Comments?
I wish this evaluation be forwarded to me via*:
 Phone e-mail Fax Regular Mail
I wish a personal inspection of my residence:
 YesNo

When you are satisfied with the information above, click Submit.

NOTE: Reliance on this evaluation in whole or in part without personal inspection by Cindy Hipple is not recommended. As you are probably aware, without an on-site inspection, some important details may be missed that may otherwise increase or decrease the results. Should you wish an on-site inspection, simply indicate above and I will call you for an appointment. No commitments. No pressure.

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Contact us at:
Pierre One Real Estate
P.O. Box 571
Pierre, SD  57501
Phone: (605) 224-2808
Fax: (605) 945-3139
email: cindy@pierreone.com
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