NAME(S):

ADDRESS: CITY: STATE: ZIP:

E-MAIL ADDRESS: PHONE:

HOME STYLE & SIZE:                                LOT:

2-STORY                 LEGAL: Lot # Block# Development

Rambler                 Lot Price:

Modified                 Our own lot. Indicate amount to be included in estimate in Lot Price above.

Multi/Split

Other: Name of home seen on Mittelstaedt Brothers or this website: or, for a Custom Home, home style and total finished square feet:

OPTIONS:

FRONT ELEVATION:                                                            SIDING ON REMAINING SIDES:                BASEMENT:

Brick. Approx. SQFT:                  Vinyl                                            Flat Lot

Cultured Stone. Approx. SQFT:           Hardie^® Siding                               Look-out/Daylight Lot

Stucco. Approx. SQFT:                       Other:            Walk-Out

Porch. Size:                                                                                              Finished SQFT:

FLOORING:                                                                APPLIANCE ALLOWANCE:                            FIREPLACE:

Wood. Species:                         $1500-$2000                                          Gas. Room:

     Rooms:                         $2100-$2500                                          Wood-Burning

Ceramic Tile. Rooms:                 $2600-$3000

WINDOWS:                                                                 GARAGE ADDS:                                            PLUMBING ADDS:

Vinyl Casement                                                        Higher Doors                                          Whirlpool Tub

Wood Interior Casement                                           Wider Doors                                           Elongated Toilets

Single Hung Vinyl                                                      Add. SQFT:               Other:

Double Hung Vinyl

Specific Brand:

ELECTRICAL ADDS:                                                      WOODWORK ADDS:                                     CABINETRY ADDS:

Recessed Lights. #                                       High Baseboards                                    Entertainment Center

Ceiling Fans. #                                             2 or 6-panel Interior Doors                      Varied Height/Depth Cabinets

Pendants. #                                                    Species (ie, maple, cherry)           Lockers

Other:               Other:       Other:

QUESTIONS/COMMENTS: