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    Client Information

    Your Name*

    Address*

    City/State/Zip*

    Your Phone Number*

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    Property Information

    Address for Inspection*

    City/State/Zip*

    MLS #

    Property Details

    Type of Home*
    Single FamilyMulti-FamilyCondominiumOther

    Square Footage

    Year Built

    Number of Bedrooms

    Number of Bathrooms

    Basement
    FullPartialNone

    Crawlspace
    FullPartialNone

    Slab on Grade
    FullPartialNone

    Furnaces
    OneTwoThree
    FuelElectricGasOil

    A/C
    OneTwoThree

    Water Heater
    OneTwoThree
    FuelElectricGasOil

    Utilities
    OnOff

    Garage
    OneTwoThree
    AttachedDetached

    Additional Inspection Services*

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