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Name:
 first     last
Client Telephone :
day    evening   cell 
Fax number :
        E-mail :
Date of Inspection :
     Time of Day :
Property Address & Location :
    City:
Building Type :
Single Family  Multi Unit Number of units
Town Home Unit No.    Condo Unit no.
Occupied :
 Yes     No      Utilities: On    Off      Age of property :
Approximate square feet :
Up to 1,500    Up to 2,000    Over 2,000    Exact S.F.

Are all available access locations open and unobstructed, such as, attic and crawl space access?

Yes     No
Any special disclosures or concerns about the property?
Yes     No     
If special disclosures or concerns please explain?


Property has a :
Crawl Space      Basement     Attic     Garage
How did you hear about us ?
Yellow Pages   Realtor        Mortgage      Other