Name:

Postal Address:

Home Phone:

Work Phone:

Mobile Number:

Email address:

Type of Inspection:
BuildingPestCommercial

Report to be:
emailedpostedboth

Inspection address:

Inspection deadline date:

Type of Building:
HouseDuplexUnitTown House

Building Description:
High SetLow SetSplit Level

Property Status:
Occupied by ownerOccupied by tenantVacant

Person agent for entry to dwelling details:

Council Permits Required:
YesNo

Would you like to be onsite for the inspection?
YesNo

Would you like a copy sent to another party. Eg Real Estate Agent, Solicitor?
YesNo

If yes please provide email address:

Are there any special requirements regarding the relevant inspection?
YesNo

If yes please provide details:

I
(client’s name) hereby agree that I have read, understood and agree to the relevant agreement(s) on thisday of,20.

For the purposes of marketing, how did you hear about us?
Referred by a friendReal Estate AgentPDCGoogleOther

-If others, Please Specify