Garage Use Yes No Fireplace Use Yes No
Security System Yes No Who Monitors?
_ _____________________________________________________________________________________
Disarm Code
__________________________________________________
Password
_ ____________________________________________________________________
Breaker Box Location
_ _____________________________________
Owner Closet(s) Location(s)
_ ___________________________________________
Is there any equipment that would require us to have access (hot water heater, air handler, etc.)? Yes No
If yes, please list
_______________________________________________________________________________________________________________________________
Service Provider Hargray Adelphia Acct. No.
_ __________________________________________________________________________
Wireless DSL High-Speed Location of Internet Equipment
_________________________________________________________
User Name
_ _______________________________________________________
Password
__________________________________________________________________
Powerwash/Roof Blowing
___________________________________
Service Days
___________________________
Time
____________
AM
PM
Landscape Company
_ ________________________________________
Service Days
___________________________
Time
____________
AM
PM
Garbage Service
_ ___________________________________________________________________
Pick Up Days
__________________________________________
Pest Control Service
_______________________________________________________________
Frequency of Service
________________________________
Heating & Air Conditioning Company
_ ___________________________________________________________________________________________________
Thermostat Locations
______________________________________________________________________________
No. of Systems
_______________________
PM Service Agreement Yes No HVAC Warranty
_ __________________________________________________________________________
List Any Warranty Information Including Brand/Model and Warranty Expiration Date
Refrigerator Brand
_ ________________________________________
Model
_______________________________________
Exp. Date
_ __________________
Washer Brand Brand
_ ________________________________________
Model
_______________________________________
Exp. Date
_ __________________
Dryer Brand Brand
_ ________________________________________
Model
_______________________________________
Exp. Date
_ __________________
Dishwasher Brand
_ ________________________________________
Model
_______________________________________
Exp. Date
_ __________________
Wall Oven Brand
_ ________________________________________
Model
_______________________________________
Exp. Date
_ __________________
Stove/Cooktop Brand
_ ________________________________________
Model
_______________________________________
Exp. Date
_ __________________
Microwave Brand
_ ________________________________________
Model
_______________________________________
Exp. Date
_ __________________
Other
Brand
_ ________________________________________
Model
_______________________________________
Exp. Date
_ __________________
Other
Brand
_ ________________________________________
Model
_______________________________________
Exp. Date
_ __________________
Preferred Vendors
_____________________________________________________________________________________________________________________________
Owner Dates
____________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________
