Please provide the following contact information:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Telephone
E-mail

Please provide the address of the home you wish us to inspect:

Street Address
Address (cont.)
City
Zip/Postal Code

The name of your Realtor:

Name

The Real Estate Company you are working with:

Name

Square Footage of home

Is the gas on?

Not_Sure Yes No

Is the water on?

Yes No Not Sure

Is the Electric on?

Yes No Not Sure

Who will open the home for the inspector?

Listing Agent Selling Agent Client Not Sure

Is the home Vacant?

Yes No Not Sure

Number of Bedrooms

1 2 3 4 5 6

Number of Bathrooms

1 2 3 4 5 6

Number of kitchens?

1 2 3

Number of fireplaces or wood stove?

0 1 2 3 4

Garage or Carport?

Yes, Garage Yes, Carport None

Is this home a multi family home?

No Yes, duplex Yes, triplex Yes, quadplex

Is There a Basement?

Yes No Not Sure

Is there a crawlspace?

Yes No Not Sure

What Appliances are included in the home?

Not Sure Washer and Dryer Refrigerator Washer Dryer Washer, Dryer, Refrigerator None

Age of the home?

Do you plan to be at the inspection?

Yes No Not Sure

Would you like us to do a termite inspection for you?

Yes No Not Sure

How soon would you like to have the home inspected?

Any Date Within a week By the end of the month ASAP!

Comments or any specific concerns you have about the home

After you submit the form, someone will contact you

within 4-6 hours.     Thank You!