*Name
Street Address
City
State/Province
Zip/Postal Code
Phone
Cell Phone
FAX
*E-mail
Preferred Contact	E-mail  Phone   Fax
Contact Type	Buyer Owner Agent Mortgage Broker Other

*Inspection Type	Resale Inspection New Home Inspection Phase Inspection Warranty Inspection Check-up Inspection
*Date Needed
*Termite Inspection	Yes No Maybe

*Street Address
*City
*Zip/Postal Code
*Square Footage
*Year Built	New 2000 or later 1990s 1980s 1970s 1960s 1950s 1940s 1930s Older than 1930 Don't know
*Home Type	Single Family Town House Condo Multi-Family
*Foundation Type	Slab Pier & Beam (crawlspace) Other Don't Know
*Water	Municipal Private Well (please Inspect) Private Well (don't inspect) Don't know
*Sewage	Municipal Private Septic (please Inspect) Private Septic (don't inspect) Don't know