Request Home Inspection

Buyer's Contact Information

*required field

First Name:*	First Name is Required.
Last Name:*	Last Name is Required.
Address:*	Address is Required.
Address 2:
City:*	City is Required.
State/Zip:*	Please Select State. Zip is Required.Invalid format.
Best Contact Phone:*	(000-000-0000) Phone is Required.Invalid Phone Format.
Email:*	Email is Required.Invalid Email Format.

Inspection Information

Address:*

Address is Required.

Address 2:

City:*

City is Required.

State/Zip:*

Please Select State. Zip is Required.Invalid format.

Property Type:*

Please Select Property Type.

Age of Home:*

Age of Home is Required.

Homes over 50 years old may be subject to an additional charge.

Total Sq. Footage:*

Total Sq. Footage is Required.

Foundation:

Please Select Foundation.

Occupied:*

Please Select Occupied Status.

Utilities:*

Please Select Utilities Status.

*Be sure water/gas to the property are turned on with all shut-off valves open prior to inspection. Also make sure all pilot lights are lit.*

Property Details:
(Check all that apply)

Foreclosure
Vacant
Sold-As-Is

Date to Perform Inspection:

Time You Want Inspection:

(1:30pm)

Please include any additional information regarding the inspection site or if you have any specific areas or concerns. Are there any other structures on the property that you wish to have inspected? If so, please describe.

Notes/Comments:
Payment Method:	Personal Check Cash
Services Requested:* (Check all that apply)	Whole Home Inspection Termite Inspection Be sure address submitted is exact address. Banks typically require the EXACT address on the termite form. ie; St, Terr, Pl, etc, and that zip code is correct. Radon Screening Roof Only Inspection Major System Inspection Other
Your Agent's Information:	Name:
	Email: (if known)
	Phone: (000-000-0000)
	Company Affiliation:

You Should Know...

Are your bushes, shrubs, plants, flowers, or trees too close or touching your house? It is recommended to have a minimum of 2 inches of clearance between your siding and any landscaping. Plants can attach themselves to the wood siding which could result in paint damage or even possible damage to the siding. Now is a good time to cut them back as many won't have the extra leaves to get in the way....which also means less clean up!!!

ASHI # 250482, KAREI # 138
Kansas Home Inspector License # 0510-0169

Request Home Inspection

You Should Know...

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