Please provide as much information as possible, if you don’t know it all, no worries.

Personal:

First Name
Last Name
Address
City
State
Zip
Home Phone
Work Phone
Cell Phone
Email


Inspection Information:

Address
City
State
Zip
House Type
Age of Home
No. Of Bedrooms
No. Of Bathrooms
Approx. sq. footage
Occupied
Power
Water
Radon Test


Agents Information

Agent Name
Agency
Office Phone
Cell Phone
Email
Listing Agent



Please let me know what times and dates you would prefer and I will contact you in order to schedule and confirm.

Time and Date

Time Preference
Day of week
Specific date preferences


Thank you, I will contact you shortly! Jim

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