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1
I am the
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Homeowner
Buyer
Buyer's Agent
Seller's Agent
Other
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Please Select
Homeowner
Buyer
Buyer's Agent
Seller's Agent
Other
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2
Inspection Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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3
Client Name (Payee)
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First Name
Last Name
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4
Client Phone Number
*
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Please enter a valid phone number.
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5
Client Email
*
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example@example.com
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6
Septic Inspections - In addition to a general home inspection, I need to include a septic inspection - $325
*
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Yes
No
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7
Mold Inspection and Air and/or Surface Sampling - In addition to the home inspection, I would like the home tested for high mold spore levels. Inspection and sample collection will be conducted to test for elevated mold spores inside the home and to look for heavy particulates in the air, which may affect people with asthma or respiratory issues. Tape lift samples may be taken of any areas with visible growth, such as in the attic or crawlspaces - $350
*
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Yes
No, I Understand the home inspector cannot verify indoor air quality with just a visual inspection.
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8
Technical HVAC inspections - In addition to a general home inspection, I would like to add a technical HVAC Inspection. A general home inspection does include an inspection of the HVAC system, but a technical inspection far exceeds the limited inspection performed by a home inspector. The Technical HVAC inspection includes voltage testing and checking electrical components for failures. Check the filter, inspect the condensate drain for blockages, check thermostat settings and test calibration, and Check electrical connections. Inspect the quality of installation, inspect the condition of your HVAC appliances, test safety controls, test for problematic airflow through the home, inspect components of the blower, check refrigerant pressure, test gas piping (if present) and pressure, test heat pump heating mode and defrost cycle, inspect the condensate drain for clogs and blockages.
*
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Home with 1 HVAC System - $175
Home with 2 HVAC systems - $350
Home with 3 HVAC Systems - $525
Home with 4 HVAC Systems - $700
No, I do not need a technical inspection of the HVAC, and I understand that the HVAC inspection included with the general home inspection is not technically exhaustive.
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9
Is there a Pool or Spa you would like inspected?
*
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Pool - $450
Spa - $225
No pool or spa inspection needed, thank you
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10
Is there an outbuilding (tool shed, detached garage or workshop) on the property that you would like inspected? This is for storage buildings only and does not include inspections of additional living spaces. To add a second structure with living space, please call for pricing.
*
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Yes, add a single Outbuilding w/o living space - $95
Yes, add single Outbuilding w/ living space <2500 sqft - $150
Yes, add single Outbuilding w/ living space >2500 - $250
No outbuilding inspection needed. I understand detached buildings are not inspected as part of a general home inspection unless specifically selected to be inspected.
Other
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11
Will the client be using Pay-at-Closing option?
*
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Yes
No
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12
Buyer's Agent
*
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First Name
Last Name
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13
Buyer's Agent Email
*
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example@example.com
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14
Buyer's Agent Phone Number
*
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Please enter a valid phone number.
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15
Seller's Agent
*
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First Name
Last Name
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16
Seller's Agent Email
*
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example@example.com
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17
Seller's Names (Required for WDIR Inspections Only)
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First Name
Last Name
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18
Attendance
*
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Client will attend the full inspection. (Attendees will need to dress comfortably and allow 2-4 hours for the inspection based on the size of the house.
Client will attend a walk through of the home at the end of the inspection. (30 - 45 minutes at the end of the inspection.)
Buyer's Agent or another representative will attend a walk through at the end of the inspection. (30-45 minutes)
No one will be attending the inspection.
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19
Due Diligence Expiration
*
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-
Date
Month
Day
Year
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20
Closing Date
*
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-
Date
Month
Day
Year
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21
Are there any areas of concern you would like us to pay particular attention to during the inspection? You can also leave messages or specific instructions in this box. If the home is older or obviously needs renovations, please let me know here so that I can plan my schedule accordingly to be sure I block off enough time to complete a thorough inspection.
*
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22
Square Footage of Home to be inspected
*
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Heated Square Feet
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23
Year house was constructed
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24
***Please see service tab for pricing details***
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