Name of Person Submitting Request:

First:*Middle:Last:*

Affiliation to Transaction:*E-mail:*

Person Desiring Inspection:

*Affiliation with property: Owner Seller Buyer Tenant 

Other:

*First:Middle:*Last:

Spouse's/Partner's Name:

First:Middle:Last:

Company (if any):

Current Address:

*Street Address:

*City:*State:*Zip:

Home Phone:Work Phone:

Cell Phone:E-mail: Note: Your e-mail address is required if you would like to use the paperless transaction discussed in the yellow area below.

Note: YOU MUST RESPOND TO THIS! I provide an all paperless transaction using e-mail and Internet postings if you would like. It is much smoother and faster than the old snail mail approach. YOU MUST INCLUDE AN E-MAIL ADDRESS ABOVE if you want to do this. You and your agent (provided you provide their e-mail address) will be able to view everything online including your contract and reports. Adobe Acrobat Reader (a free program) is required. You will be able to download everything in pdf format, view and print it using Acrobat Reader (if you don't already have it, the free program can be downloaded at: 
http://www.adobe.com/products/acrobat/readstep.html)

Would you like to use paperless transactions (highly recommended)?

* Yes  No

Information on Property to be Inspected:

*Street Address of Inspection:

*City:*State:*Zip:

Community Name (Subdivision):

*Directions to Inspection: (Use street names and "L-" for left "R-" for right) 

*Year Built:

Square Footage:

*Heated Area: Unheated Area:  

Total Square Footage:

Property Type: Single Family Condominium Duplex Triplex Four Plex Apartment Unit Apartment Complex Commercial Building

Property Style: 1 Story 1 1/2 Story 2 Story 2 1/2 Story 3 Story Split Foyer Split Level Mobile Home Commercial Retail Medical Industrial Warehouse High Rise Note: A basement is not a story!

Foundation Types:  

Basement  Crawl Space  Slab-on-Grade  Combination

Vacant    Occupied

Power On? Gas On? Water On? 

Swimming Pool? Hot Tub?

*Please clearly state what you need to have inspected:

Your Realtor (If you are not working with a Realtor type NONE in the First Name Field):

First:Middle:Last:

Company:

Phone:E-mail:

Note: Your Realtor's e-mail address is required if you would like to include them in the paperless transaction discussed in the yellow area above.

Seller's Information (if any):

First:Middle:Last:

Seller's Spouse's/Partner's Name:

First:Middle:Last:

Seller's Phone Number:

Sellers Realtor (If the Seller has no Realtor type NONE in the First Name Field):

First:Middle:Last:

Company:

Phone:

Additional Information:

Where did you obtain my name? 

Your Realtor Seller's Realtor Friend Attorney Performed a previous inspection for you Previous Client Lender Home Builders Association Realtors Association Your Web Site From the Internet Unknown Other

Other:

Any additional information you may want to add:

Click on the "Submit" button to send this inspection request or "Reset" to clear this form and start over.