Order Information

Home Inspections L.L.C.
Make Safety your FIRST choice!
1-888-723-3901

®
Darrell A. Seidel
Member
HUD inspector # Z096

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Home Inspection Order Form

*Seller or Buyer Information*
*Name:
*Email
*Phone:
Home
Cell
Agent Information
*Buyer's Real Estate Agent
*Real Estate Company:
*Agent's Phone:
*City:
*State:
*Inspection Information*
* Address:
Unit Number:
*City:
*Zip:
*Occupied:	Yes No
*Utilities:	Gas Electric Water For a complete and thorough inspection all utilities need to be on at the time of inspection.
*Square Footage
*Roof Type
*Building Type:	Single Condo Mobile Home Manufactured Home Other:
Year Built
*No. Bedrooms
No. Bathrooms:
No. Kitchen:
No. Garages:
*Extras:	Detached Garage Shed Pool Spa
*Scheduling Information* This section is not required, but if there is a specific date and time you would like to schedule the inspection for, then please enter the information here and we will do our best to accommodate you.
Month: Day: Time: Comments

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