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Address (location of request)
Choose the appropriate status for this request:
When would you lke this request to be completed?
Is this location a historical structure?
No
Yes
Is this request covered by an insurance claim?
No
Yes
Do you own the home for this request?
No
Yes
Enter the approximate square footage of the home, including the basement and garage:
Approximately how old is your home?
Is this inspection part of a real estate sale or closing?
No
Yes
Is the home currently occupied
No
Yes
Are the utilities currently turned on?
No
Not sure
Yes
What type of foundation does the property have/
Concrete slab foundation
Don't Know
Other
Raised foundation
Does the home being inspected have any of the following?
Fire sprinkler system
Security system
Septic tank
Solar heating system
Swimming pool
Water softening system
Well
Which of the following problems are you aware of?
Asbestos
Lead paint
Mold
Other
Pest control problems
Radon gas
Roof leaks
Structural damage
Water damage
 Do you need financing for this project?
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