Order Form

Before filling out this form you may want to scan it for data you'll need to enter so that you have all the information needed to fill it in.

Required information is marked with an *

About You (Your client if you're the Realtor)

*Name(s):
*Primary Phone #:
Secondary Phone # if required:
*Email address(s):
*Do you have a signed contract?: Yes No
Inspection Objection Deadline:
(Date you need inspection done by)

About the Home

*Address (Street):
Address (Unit):
*City:
Zip code:
*Type of home: House TownhouseCondoDuplexOther
*Year built:
*Finished square feet:
*Is the home occupied?: Yes No

If not occupied, is water running at sinks, toilets, tubs? Why?:

 Yes No I don't know.
*Are there detached buildings to inspect?: Yes No

Unusual Details About the Home (both sides of a duplex, 2 kitchens, living space in a detached building, etc.):


Inspection Options

*Radon test - Do you want a radon test performed?:
Learn more about radon testing.		 Yes No Maybe

Air conditioning - Does the home have air conditioining? Why do you need to know this?

 Yes No

About Your (the buyers) Realtor

*Name:
*Primary phone:
Secondary phone:
*Email address:
*Brokerage office name:
Brokerage office phone:

About the Seller's Realtor (to gain access to the home)

Name:
Primary phone:
Secondary phone:
Brokerage office name:
Brokerage office phone:
Brokerage showings phone:
Email address:
NOTE: If you want a copy of this information, please use your browsers 'print' button to save yourself a copy.

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