Submit Method Internet Fax/Mail Form is faxed automatically when you hit submit. You do not have to print the form.

	Customer Information

Name

Telephone Number and Email Address

	Real Estate Agent's Information

Buyer's Agent Name, Company Name, Phone Number

Seller's Agent Name, Company Name, Telephone Number

If no agents are involved, include Seller's name and telephone number.

	Property Information

Street Address, City, State and Zipcode. Please include name of sub-division.

Type of Inspection Comprehensive with Roof and Termite      Click here for single family home or townhome. Comprehensive only      Click here for condominium or townhome when association covers exterior. Roof and Termite only      Usually required by mortgage company. Roof only      Usually required by mortgage company. Termite only      Usually required by mortgage company. 4-Point Inspection      Insurance Inspection for houses over 35 years old. Mold Inspection      Optional Inspection. Seawall Inspection      Optional Inspection. Septic Inspection      Sometimes required by mortgage company if septic system is present. Other

Total square footage including garage. Do not put living area.

Type of Building Single Family Home       Single Family Home with Pool       Condominium       Townhouse       Commercial       Multi Family Home       Multi Family Home with Pool       Other

How will Inspector access the building? If Inspector must arrange for access, check other and include contact information. Agent has access       Supra       Other

Is the property occupied or vacant? If vacant, verify power and water are turned on or additional charges will apply for Inspector to return at a later date. Occupied       Vacant with power and water       Vacant no power and water

If ordering a roof inspection, how many stories is the building? If property is in a gated subdivision put owner's name or gate code in other field. One Story       Two Story       Other

	Date and Time of Inspection

Please list first and second choices. Inspection will be confirmed by phone.

What time a day do you prefer? Morning 9am to11am       Afternoon 12pm to 4pm       Other

Inspection must be paid for on or before the time of Inspection or additional charges will acrue. Check      You may pay on or before Inspection is scheduled. Credit Card      You may pay online or at the time of Inspection.