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Contact Us For A Home Inspection
First Name
Last Name
Phone Number
Address of home to be inspected
MLS Number
Age of home
0-10 years
11-20 years
21-30 years
31-40 years
41-50 years
51-60 years
61-70 years
71-80 years
81-90 years
91-100 years
Over 100 years
Unknown
Number of rooms
1
2
3
4
5
6
7
8
9
10+
Number of bedrooms
1
2
3
4
5
6+
Number of bathrooms
1
2
3
4
5+
Attic
Yes
No
Basement
Yes
No
Crawlspace
Yes
No
Unknown
Fireplaces
0
1
2
3
4
5
Garage/Carport
0
carport
1 car attached
2 car attached
3 car attached
1 car detached
2 car detached
3 car detached
attached and detached garages
Gas service
Yes
No
Furnaces
1
2
3
Central air/Heat pumps
1
2
3
4
Number of water heaters
1
2
3
Occupancy
Occupied
Vacant
Are utilities turned on?
Yes
No
Does the house have any woodburning stoves?
Yes
No
What date does the inspection need to be performed by?
When is the best time to contact you?
Hours
01
02
03
04
05
06
07
08
09
10
11
12
:
Minutes
00
15
30
45
AM
PM
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