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Your Name (required)
Address Line 1
Address Line 2
City
State
Zip
Home Phone
Work Phone
Cell Phone
FAX
Your Email (required)
Inspection Site Information (Optional, but helpful before inspection.)
Property Type Single Family HomeDuplex/Multi-Family Home
Age of Home
Total Square Footage
Heated Square Footage
Foundation Slab on GradeRaised Floor AccessibleBasement
Number of Bedrooms 123456 or more
Number of Bathrooms 123456 or more
Occupied YesNo
Utilities Turned OnTurned Off
Date Inspection Requested
Inspection Time Requested
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