Buyers Name Inspection Address City   State   Zip Code   Home Phone/Cell # E-mail     Home Information   Year Built          Square Footage          1 or 2 Stories    Home Status:  Occupied  Vacant        Utilities:   On   Off      Do you have a Pool and/or Spa.        Pool      Spa   Access             CBS Code     Preferred Inspection Date       Time     AM  PM     Call (602) 290-5904 to confirm inspection date and time availability. Buyers Agent     Phone #               Fax #    Termite Inspection ($43.00)  Yes  No      Termite Inspection is Billed thru escrow    If Termite Inspection is requested, please fill out Title Company information Title Company   Escrow Officer Phone #       FAX #    If possible, please FAX or email the Seller Disclosure Additional Notes to Inspector:   Thank you  IQ Home Inspections