HEATING SYSTEM

System Type     Steam   Warm Air   Hot Water   Hydroaire   Heat Pump   Electric

System Fuel      Oil       Natural Gas       Propane Gas       Electric

System Condition       Good       Fair       Poor         Aged

Number Of Sytems/Zones        1     2     3     4     5     6     Other

Oil Tank      Buried       Above Ground       Condition    Good       Fair       Poor 

Piping/Duct Condition      Good       Fair       Poor       Leaks

Insulation On Pipes/Ducts       Yes       No       Asbestos

Heating Source     Radiators       Heating Baseboards       Heating Registers

Heating Source Condition        Good       Fair       Poor        Leaks

Fireplaces      Masonry     Prefabricated        Condition     Good       Fair       Poor

Comments

AIR-CONDITIONING SYSTEM

System Type       Central        Window/Wall Units        PTAC

System Condition     Good      Fair      Poor      Cooling     Adequate      Inadequate

Number Of Sytems/Zones        1     2     3     4     5     6     Other

Duct Condition       Good       Fair       Poor       Asbestos

Comments