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Customer Information
Inspection or Quote
Inspection or Quote
Inspection
Quote
1. Name
Name
2. Address
Address
3. City/State/Zip
City/State/Zip
4. Home Phone
Home Phone
5. Work Phone
Work Phone
6. Email
Email
7. Property Location
8. Address
Address
9. City/State/Zip
City/State/Zip
10. MLS # ( Multiple Listing Service Listings )
MLS # ( Multiple Listing Service Listings )
11. Type of Home or business
What Type of Home or business
Single Family
Multi Unit
Condo
Business
Other
12. Style & Stories
Style & Stories
13. Square Feet
Square Feet
14. Age
Age
15. Bedrooms
Number of Bedrooms
One
Two
Three
Four
Other
16. Bathrooms
Number of Bathrooms
One
Two
Three
Four
Other
17. Fireplaces
Number of Fireplaces
One
Two
Three
Four
Other
18. Basement
Type of Basement
Full
Part
Slab
None
Other
19. Crawlspace
Type of Crawlspace
Full
Part
Slab
None
Other
20. Furnaces
Number of Furnaces and Type of Fuel Used
One
Two
Three
Four
Electric
Gas
Oil
Other
21. A/C Units
How Many A/C Units
One
Two
Three
Four
Other
22. Water Heaters
Number of Water Heaters Type of Fuel Used
One
Two
Three
Four
Electric
Gas
Oil
Other
23. Utilities
Are the Utilities On or Off
On
Off
Other
24. Garage
Type of Garage Number of Cars:
Attached
Detached
One
Two
Three
Four
Other
25. Comments, Concerns
Comments, Concerns
26. Additional Services
Test or Inspect
radon
Well Water
Other
27. Request Any Additional Services
Request Any Additional Services
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