Home Inspection Services of Michigan, Inc.

Order Your Inspection

PROPERTY INFORMATION
Property Address
City
State
Zip

Your name	(required)
Phone	(required)
Email	(required)

BUYER INFORMATION
Buyer name
Address
City
State
Zip
Phone	(format: 555-555-5555)
Email

Seller name
Phone	(format: 555-555-5555)

REALTOR INFORMATION
Selling Realtor
Company
Phone
Email

Listing Realtor
Address
City
State
Zip
Phone
Email

ABOUT THE HOUSE
Age of Home
Approx. Square Footage

Are there Multiple Furnaces?	Yes No

Is there a Crawlspace?	Yes No

Type of Home	Ranch 2 Story/Bi-Level Condo Trailer Modular

Special Concerns

Please review the information on this form before submitting. Thank you.