In order to perform a complete and thorough inspection, ALL utilities must be on. Phone: 817-456-0501 (8am-8pm)

Name: Phone Number(s): Email Address: Preferred Method of Contact: Full Address of Property to be Inspected: General Information about Property: Square Footage: Year Built: Type of Foundation: Property Components: Sprinkler System Gas Lines Additional Inspections Needed/Arranged: Arrange WDI (Termite) Inspection Arrange Security System Inspection Pool & Equipment Inspection Preferred Inspection Date/Time: (Subject to Availabilty) 1st Preference 2nd Preference Comments:

Phone Email Both Phone and Email Slab-on-Grade Pier and Beam (Crawlspace) N/A Yes No Unknown N/A Yes No Unknown N/A Yes No N/A Yes No N/A Yes No January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Anytime Available Morning (8-12) Afternoon (12-4) Evening (After 4) January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Anytime Available Morning (8-12) Afternoon (12-4) Evening (After 4)

Stone Creek Home Inspections TREC #8324 Mansfield, TX 76063-6329 Phone: (817) 456-0501 Email: shane@stonecreek-inspections.com