CONTACT INFORMATION:

First Name
Last Name
Street Address
City
State/Province
Zip/Postal Code
Best Contact Phone
Home Phone
Email Address

INSPECTION SITE INFORMATION:

New Property Address
City	-None Selected- Berthoud Boulder Broomfield Estes Park Fort Collins Greeley Livermore Longmont Loveland Red Feather Lakes Severance Wellington Windsor Other
Other City if Applicable
Zip/Postal Code

STRUCTURE INFORMATION:

Property Sq. Footage
Home/Building Year Built
Home/Building Type	-None Selected- House Cabin Commercial Condo/Townhome Duplex Mobile Home New Construction Patio Home Other
Foundation Type	-None Selected- Basement Cellar Slab Other Crawlspace I do not know

Total # Bathrooms
Total # Bedrooms
How many car garage?

Radon Testing? Yes No Will you be attending?   Yes No  

Is Property Occupied?   Yes No     Inspection Deadline:

Month/Day/Time Preference (Monday-Friday)

-None- January February March April May June July August September October November December     -None- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31    AM_PM AM PM

AGENT CONTACT INFO:

Name
Realty Company
Agent_Email
Work Phone

LISTING AGENT CONTACT INFO:

Listing Agent
Listing Agent Email
Agent Phone #
Listing Realty Co
Real Estate Office Phone#
Street Address
City
Zip/Postal Code

OTHER CONTACT INFO/FOR SALE BY OWNER: (Fill only if Applicable)

METHOD OF ACCESS:

-None Selected- E-box Combination (code) Owner will let you in Selling Agent will meet you Listing Agent will meet you A door will be left open Other - see details/comments Other - please call I do not know

SPECIAL NOTES/DIRECTIONS: (If you are out of town and would like an invoice available to download please let us know here.)