Inspections Order Form

Lake Sumter Home Inspections Lake Sumter Home Inspections
PO Box 279, Lady Lake, Florida 32158
(352) 259-0037
Fax: (866) 323-3238

Please Choose the Inspection(s) to Order: Order Date:
Pre-Purchase Home Inspection Requested Inspection Date:
WDO - Wood Destroying Organisms Requested Time:
Roof Certification    
Wind Mitigation    
4 Point
  Closing Date:
Buyer's Agent: Closing Company:
Real Estate Agency: Closing Co. Phone:
Buyer's Agent Phone: Closing Co. Fax:
Buyer's Agent E-mail    
Property Address: As/Is Sale? YES      NO
Lockbox: Owner Occupied? YES       NO
  ALL Utilities on? YES       NO
Directions: Pets on Premises? YES       NO
Keys present to ALL Doors? YES       NO
Buyer's Name Washer & Dryer Staying? YES       NO
Buyer's Address Will Buyer Attend Inspection? YES       NO
Buyer's Phone    
Buyer's Cell:    
Buyer's E-Mail: Listing Agent Name:
    Listing Agent's Phone:
Seller's Name: Listing Agent's E-Mail:
Seller's Phone: Real Estate Agency:
  Please fill in all necessary
fields before sending.