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Contact Information
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| Name:* |
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| Current Address1:* |
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| Current Address2: |
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| City, State, Zip:* |
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| Phone:* |
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| Email:* |
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| Alternative Email: |
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| Cell Phone: |
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Real Estate Agent
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| Agent's Name: |
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| Company: |
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| Address: |
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| Address 2: |
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| City, State, Zip: |
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| Phone: |
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Property Type
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Detached Single Family Home
Condo, Townhome, Patio Home |
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New Construction
Pre-Sale
Resale
Foreclosure |
Site Information
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| Site Address1:* |
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| Site Address2: |
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| City, State, Zip:* |
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| Name of Subdivision: |
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| Age of Home:* |
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| Contract Price of Home:* |
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| Heated Sq. Footage: |
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| Garage Size: |
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| Foundation Type: |
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| # of Bedrooms: |
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| # of Bathrooms: |
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| Re-Inspection of Requested Repairs:
Yes
No 1/2 the cost of a Full Inspection |
| Airborne Radon Gas Inspection:
Yes
No $95 with inspection |
| Mold Sampling Tape & Swab Testing:
Yes
No $95 with inspection |
| Swimming Pool Inspection:
Yes
No |
*FREE 90 Day Limited Structural & Mechanical Home Warranty:
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| *By checking 'Yes' and signing this agreement, you authorize Brink's Home Security to call at the phone
numbers you have provided, to discuss a special alarm offer and to extend a 90 Day Warranty on the home
being inspected from the date of the inspection. American Home Warranty Policy |
Inspection Date:* (Requested) |
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Inspection Time:* (Requested) |
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| Comments: |
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| I have read and accept the terms contained in the Pre-Inspection Agreement |
| We adhere strictly to the Standards set forth by ASHI |
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*Boxes must be filled out in order to
process your request. Inspections are scheduled on a first come first serve
basis. We offer our services between Monday through Saturday normally from 9 AM to 7 PM. Please allow a minimum of 2 days notice when
requesting an inspection. We will contact you to confirm your request
within 24 hours. Thank you.
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