Home Inspection Nassau Suffolk Long Island NACHI IHINA NSHI

Inspection Property Profile

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Please use this form to furnish essential information regarding your Professional Home Inspection...

Please provide the answers to the following questions as best you can, as this is the information which is utilized to retain our services and to schedule your Professional Home Inspection. It is also used to generate your Residential Property Inspection Report, and to prepare your Important Inspection Documents for your Client Folder which you will receive at our onsite orientation before commencement of your Property Inspection...
Please Note: Pressing the enter Key will automatically submit your information...
Clicking your "BACK" button will return you to the location of your where your information was last entered prior to pressing your "Enter Key"... you may then continue to input your data.
Upon completion of your data entry, Press your "Enter Key" or Click on the Submit Button. This will send your information to our Secure Servers.
Clicking the "Clear" Button clears all entries...
Upon successful submission of your data an E-mail acknowledgement will be provided with an Important Message... Thank-You.

Client First Name:
Client Last Name:
Client Company name if applicable:
Client Office or Residential Address:
Address 2:
City:
State:
Zip Code:
Contact Office Phone:
Contact Home Phone:
Contact Cell Phone:
Contact Fax:
Contact E-mail address:
Please describe your request:
Please enter the best time to be reached:
Please enter the best way to be reached:
What type of Home Inspection is desired?
What is the Inspection Property's Address?
What is the Inspection Property's City?
What is the Inspection Property's State?
What is the Inspection Property's Zip Code?
What is the Inspection Property's MLS Number?
Is the Inspection Property furnished?	Yes
	No
	Partially
	Unknown
What is the present Occupancy?
What is the approximate age of the structure or year built?
What is the approximate square footage?
What is the purchase / listing price?
What is the Inspection Property Type?
What is the Inspection Property Style:
If "Other" please describe:
Are all of the utilities on and fuel present (gas, water, electric, oil, etc)?	Yes
	No
	Unknown
Are all of the appliances operational and available for testing?	Yes
	No
	Unknown
Are there pets which may have to be managed during the inspection?	Yes
	No
	Unknown
Have access arrangements been provided?	Yes
	No
	Unknown
Please describe the current status of your access arrangements to the Inspection Property:
Can you provide us with a copy of the printed listing information if needed?	Yes
	No
	Unknown
Buyer Agents Name: Last, First
Real Estate Firms Company Name:
Office Address:
City, State, zip code:
Contact Home Phone:
Contact Cell:
Contact Office Phone:
Contact Office Fax:
Contact E-mail:
Seller Agents Name: Last, First
Real Estate Firms Company Name:
Office Address:
City, State, zip code:
Contact Home Phone:
Contact Cell:
Contact Office Phone:
Contact Office Fax:
Contact E-mail:
Sellers Name: Last, First
Contact Information:
Miscellaneous Notes:
My Additional Questions:

So call The SURE-LOCK HOMES^® ^{INSPECTION AGENCY} at:

(516) 375-7356

And put a different level of expertise to work for you.

We thank you for visiting and for providing us with the opportunity to serve you in all of your Home Inspection Needs.

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