Date of Inspection (MM/DD/YYYY): Time of Inspection: Option Period Ends (MM/DD/YYYY): Street Address: Zip Code: Year Built: Square Footage: House Status: OccupiedVacant Arrange 3rd Party Termite Inspection: NoYes Agreed Inspection Price: Customer Name: Customer Phone: Customer E-Mail: Customer Name: Customer Phone: Customer E-Mail: Agent Name: Agent E-Mail: Agent Phone: Additional Info: