Cell: 720.987.4658
Fax: 303.465.4340
email: info@coloradopeaceofmind.com

ITA CERTIFIED

Please Contact me:
Name:
Phone:
E-mail:
Preferred Method of Contact:
Preferred Time to Contact:
Questions:
   
Request a Quote or Schedule an Inspection
Name of Homeowner:
Realtor's Name:
Real Estate Agency:
Realtor's Phone:
Address of Property:
  City: State: Zip:
Is Property Vacant?
Square Footage of Home:
Approx. Age of Property:
Type of Dwelling:
If Single-family:
Foundation Type:
Include Outbuildings?

Do Outbuildings Have:

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Extras:
Water:
Test for Radon?

Who Will Attend Inspection?

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Preferred Inspection Day:
Preferred Inspection Time:
Comments: