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Type of Inspections (Please Check All That Apply)
General Home Inspection
Radon Test
Lead Paint
Water Analysis
Septic Tank Inspection
Mold Testing
Realtor Information
Name
*
First
Last
Company:
Address
Address Line 1
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Office Phone
(please include Area Code)
Cell Phone:
(please include Area Code)
Fax Number:
(please include Area Code)
Email
*
Client Information
Client Name
*
First
Last
Client Address
Address Line 1
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Client Office Phone
(please include Area Code)
Cleint Cell Phone:
(please include Area Code)
Client Fax Number:
(please include Area Code)
Client Email
*
Property to Inspect
Owner Name
*
First
Last
Owner Phone
Owner Email
*
Owner Property Address
Address Line 1
City
Property State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Name of Subdivision:
Present at Inspection: (check all that apply)
Buyer
Seller
Listing Agent
Selling Agent
Homeowner
Type of Utilities: (check all that apply)
Public Water
Public Sewer
Well Water
Septic Tank
Propane
Natural Gas
Utilities On:
Yes
No
Home Vacant:
Yes
No
Foundation:
Slab
Crawl
Basement
Age of Home:
Square Footage:
How to Access:
Additional Information
Requested Date:
Requested Time:
Contract to be Signed:
At the Inspection
Sent to Client for Signature
Signed by Realtor Representative
When Will Advantage Inspection Be Paid:
At The Inspection
c/o Realtor
Upon Delivery
How Will Advantage Inspection Be Paid:
Visa
MasterCard
Check
Send Copies of the Inspection Report To: (check all that apply)
Buyer
Seller
Listing Agent
Selling Agent
Other
Message To Inspector/ Any Special Comments or Concerns
Name
Submit