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Home Inspections L.L.C.
Make Safety your FIRST choice!
1-888-723-3901

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Darrell A. Seidel
Member

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Home Inspection Order Form

Seller or Buyer Information

*Name:

*E-mail:

*Home Phone [i.e. (760)240-2839]:

Cellular Phone:

Agent Information

*Buyer's Real Estate Agent:

*Real Estate Company:

*Agent's Phone:

*Town:

*State:

Inspection Information

* Address:

 Unit Number:

*City:

 Zip:

*Occupied:   Yes    No

*Utilities1:   Gas    Electric  Water

*Square Footage of the Home:

*Roof Type:

*Building Type:  Single  Condo  Mobile Home  Manufactured Home  Other:

Year Built:

*No. Bedrooms:  No. Bathrooms:  No. Kitchen:  No. Garages:

*Extras: Detached Garage  Shed  Pool  Spa

1 For a complete and thorough inspection all utilities need to be on at the time of inspection.

Service Information

Standard Inspection 2 year Roof Cert.
Lead Paint Check 3 year Roof Cert.
Mold Test  

Scheduling Information

This section is not required, but if there is a specific date and time you would like to schedule the inspection for, then please enter the information here and we will do our best to accommodate you. 

Month: Day: 

Time:

Comments

 

Fields Labeled with an asterisk (*) are required information

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