Member of the
American Society of
Home Inspectors

REQUEST AN INSPECTION

Please complete and submit the form below to request a home inspection. You may also PRINT the Inspection Request form, the Inspection Agreement form, or both forms.

Home Inspection Request Form

Please fill out as much information as possible. I will contact you to set a convenient date and time for the inspection, contact the listing Real Estate Professional to set the date, and follow up with your Realtor to let them know everything is arranged.

Client Information This inspection is for Buyer Seller
First Name
Last Name
Current Address
City
  Zip
Home Phone
Work Phone
Cell Phone
Fax
E-Mail
 
Realtor Information  
Buyers' Real Estate Pro.
Company
Office Phone
Cell Phone
E-Mail
 
Listing Real Estate Pro.
Company
Office Phone
Cell Phone
 
Property Information  
MLS#
Owners Last Name
Property Address
City
Access to Home
 
 
Are all of the utilities turned on?     Yes  No
Will the buyer be present for inspection?    
   
Inspections Requested  
Whole House Inspection
          Cost based on the finished square footage on the home
Wood Destroying Insect Inspection
          Including termites, carpenter ants, etc.
Well Function Test
          Testing performance of the well
Water Quality Sampling
          Sample is drawn and delivered to lab for testing

Radon Test
          Femto-Tech 48 Hour Continuous Radon Monitor

 
Special Instructions or Concerns
 

**I have read and agree to the terms and conditions of the Inspection Agreement (PDF). You must agree to the terms and conditions by checking this box to recieve an inspection.

 
Please Note: Payment is requested at time of services.
    

 

 

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VanOsdol Inspection Services Inc.
805 Sharon St.
Winona Lake, IN 46590
574.267.7734
Toll Free: 866.437.7519
Fax: 574.267.1838

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