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Request
an Inspection
Beneficial Home Inspections Proviacy Policy:
We will not share any personal information with anyone without your consent.
Please fill out form or
contact me to request an inspection.
** Indicates Required Information
**
Who is filling out form?
Name (if other than client)
Client Information
**
Client 1 First Name
Client 1 Last Name
M
Client 2 First Name
Client 2 Last Name
M
**
Client Mailing Address
**
Client City
**
Client State
**
Client Zip Code
** At Least One Contact Number is Required
** Phone
** Number
Phone
Number
Phone
Number
Best Time To Call
**
Client's Email Address 1
Client's Email Address 2
Please enter clients e-mail address - enter (NONE) if
not available
Please provide an e-mail address if available, the link to
download your report as well as additional documents will be sent via e-mail.
Note - your personal information including your em-mail will be kept confidential.
Agents Note - please do not enter your e-mail address here, this is only for the
clients e-mail address. If no email address is available enter "None"
Property Information
MLS#
Please key in only alfanumeric characters for property
address
**
Property Address
**
City/Town
**
State
**
Zip Code
**
County
Community Name
**
Property Type
**
Levels
**
Foundation Type
**
Basement
**
Total Square Feet
**
Year Built
Does property have Gas or Propane?
(All utilities must be on for a complete inspection)
WDI Report
Wood Destroying Insect (Termite) Inspection
Beneficial Home Inspections always recommends that you have a WDI inspection performed.
**Do you require or desire a WDI report -
(The WDI inspection and report is performed
by a representative from Pro Tech Exterminating a licensed Pest Control company)
(additional fees apply)
Please select (NO) if you would like to hire your own licensed pest inspector
Additional Requested Items for Inspection (additional
fees apply)
**Are there any additional items that require inspection?
(Check all that apply)
Requested Appointment Date and Time.
Our Inspections are generally scheduled at the following starting times: 9 am or
10 am, and 1pm or 2 pm. This may vary depending on many circumstances. We will try
to accommodate your requested date and time of inspection however with our busy
schedules this may or may not be feasible.
Please indicate the best dates, days and times to schedule your inspection.
Please select Date and either A.M. or P.M.
Checking "anytime" may help us to schedule
on your requested day.
Note - For us to accommodate specific times and dates we typically need at least
4 days notice, however we will try to accommodate all requests.
Do you have any specific concerns about the property? If so, or if you would like
to provide any additional information, comments or questions please provide that
information here.
**Is the Property
Occupied?
If yes, please provide occupants/owners names and contact information.
Occupants First and Last Names
Occupants Contact
Information Type
Number
Payment Method
Payment for professional services are required
before a report can be created
or issued.
***Please select
payment option below.
(Debit or credit card payments must
be made online through Pay Pal, a invoice with a special link will be e-mailed to
you prior to or immediately after the inspection is completed)
At this time we are not accepting payments at closing
If you have a special request on delivery of payment please
include the details in the box below.
Agent Information
Buyers Agent
Please include your agents information if available,
this helps us to gain access to the property
First Name
Last Name
M
Real Estate Firm
Phone
Number
Phone
Number
Phone
Number
e-mail 1
e-mail 2
Listing
Agent
Please include your agents information if available,
this helps us to gain access to the property
First Name
Last Name
M
Real Estate Firm
Phone
Number
Phone
Number
Phone
Number
e-mail 1
e-mail 2
Beneficial Home Inspections / Office - 512-719-5090
Beneficial Home Inspections.
Revised:
April 15, 2008
.