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Please fill out the
form as completely as possible
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Full Name:
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Your Current Address:
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City, State, ZIP:
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Daytime Phone:
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Evening Phone:
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Email Address:
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Inspection
Address:
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City, State, ZIP:
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MLS Number (if known):
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REALTORŪ Name:
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Company:
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Sale Price:
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Will the Utilities all be turned on?
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Yes
No |
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How will I gain entrance?
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We can not guarantee your confirm the
appointment.
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requested date/time will be available.
You will be contacted to
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Requested inspection date:
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Requested inspection time:
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Would you like a termite inspection?
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Yes,
please include a termite inspection. |
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No
Thanks, I don't mind termites eating my home. |
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Would you like a radon test?
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Yes,
please test for radon.
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No,
I don't mind high levels of the 2nd leading cause of lung cancer.
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Click
Here to view a 13 minute video about radon |
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Comments/Questions/Concerns:
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