Order Inspection Form

	*Most items on this form are required. If a value does not apply to your home, please enter "NA." Fill out as much of the information as you can to assist us in processing your request.
	Please arrange an inspection for me on the following property:
	THE HOUSE ITSELF
	Address:
	City:
	Zip:
	Size:
	Water Supply:	Well Community City Water
	Sewage:	Septic City
	Is there a sign at front of house?	Yes No
	If yes, whose sign?
	Directions:
	How do I get in?
	Pay attention to:
	YOUR PERSONAL AND COMMUNICATION INFORMATION
	Your Name:
	Wifes Name:
	Current Address:
	City:
	Zip:
	Home Phone:
	Work Phone:
	Fax:
	Cell:
	E-mail:
	Did you download the pre-inspection agreement form?	Yes No
	If No, how shall I send one?
	How did you get my name?
	SCHEDULING THE INSPECTION
	How quickly do you need it?	ASAP / By the of .
	Will you attend the inspection?	Yes No
	Which day(s)/time(s) is/are best for you?
	CONTACT INFORMATION
	Your Agent:
	Company:
	Home Phone:
	Work Phone:
	Fax:
	Cell:
	E-mail:
	Listing Agent:
	Company:
	Home Phone:
	Work Phone:
	Fax:
	Cell:
	E-mail:
	Seller:
	Home Phone:
	Work Phone:
	Send to:- kpeddie@triad.rr.com fax: 336 272 2699 708 East Lake Drive, Greensboro NC 27401