Property Consultation Order Form Remember to use your mouse or the tab key to move from field to field. Rick Daniel Home Inspections 30000 Kasson Road #48 Tracy, CA 95304 rick@homeinspectorinc.com PROPERTY CONSULTATION REQUEST ORDER FORM Property Consultation Order Form PURPOSE OF THIS FORM This form provides a means to collect the data needed to schedule a Property Inspection or Consultation Appointment, send out the "official" Inspection Agreement and connect with the client to discuss how we can best serve their needs. Today's Date * Your Name Your Email Address CLIENT INFORMATION Client Name Company Name Client Street Address Client CITY, STATE, ZIP Client Phone Number Is this a cell phone? Yes No Client Email Address Is the Client also the Property Owner? Yes No If the Client is not the property owner, the Owner will have to grant permission to enter the property to conduct any Inspection or evaluation. OWNER INFORMATION Owner Name Owner Phone Number Owner Email Address INSPECTED PROPERTY DETAILS Inspected Property Street Address Inspected Property CITY, STATE, ZIP Year Built Square Footage Select Inspection Type Property/Asset Inspection Consultation Appointment OtherOther Occupancy Status Occupied Not Occupied. With furniture ` Vacant. No furniture Utilities Status. Check all that apply. Power is "ON" Power is "OFF" Water is "ON" Water is "OFF" Gas is "On" Gas is "Off" BILLING AND ACCESS DETAILS Method of Payment Paid by Credit or Debit Card Paid Direct By Check Paid Direct By Cash Paid Direct By "Zelle" To Be Determined This order form is not the Inspection Agreement. The actual Inspection Agreement will be sent after discussing the process with the Client. How Will I Gain Access To The Property? Who Will Be Present? Include Special Instructions and Inspection Date Requests Here PROPERTY INSPECTION / CONSULTATION NOTICE Revision: Fedruary 27, 2025 This form provides a means to collect the data needed to schedule a Property Inspection or Consultation Appointment, send out the "official" Inspection Agreement and connect with the client to discuss how we can best serve their needs. Click the button below to submit your order request, then call (209) 768-2142 to set an appointment. Thank you If you are human, leave this field blank. Δ