Order Inspection Form

	*Fill out all the information you can
	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