Progressive Home Services - North Carolina's Professional Home Inspection Company

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Triangle Region Office: (919) 649-2938
West Region Office: (919) 413-0879
Email:	PHS@nc.rr.com
Hours:	Mon-Fri: 8am-6pm Sat-Sun: 10am-4pm

American Society of
Home Inspectors

Please enter as much information as possible. Items with an asterisk (*) are required. If you have any questions before signing up for an inspection, please contact us.

When is the Inspection:

Date of Inspection:

Client Information:

* Client Name:
* Street Address:
* City:
* State:
* Zip Code:
* Phone:
Cell Phone:
Email Address:

Property to be Inspected:

Seller's Name:
Phone Number:
Street Address:
City:
State:
Zip Code:
Type of Home:
Age:
Square Footage:
Stories:
Basement:
Garage:
Crawl Space:
Bedrooms:
Full Bathrooms:
Half Bathrooms:
Utilities:	Gas
	Electric
	Public water and sewer
	Well and septic
A/C:	Central
	Window

Services Requested:

Home inspection	Septic
Wood Destroying Insects	Well
Radon	Water

Who Will Be Attending:

Clients?:

Buyers Agent?:
* Name:
* Office:
Address:
* Work Phone:
Home Phone:
Cell/Pager:
Fax:
Email Address:

Sellers Agent?:
Name:
Office:
Address:
Work Phone:
Home Phone:
Cell/Pager:
Fax:
Email Address:

Additional Questions or Comments:

Comments:

* Items with an asterisk are required.

Triangle Region Office Serves the Following North Carolina Counties:
Cumberland, Wake, Durham, Johnston, Chatham, Orange, Harnett, Lee, Nash, Franklin

West Region Office Serves the Following North Carolina Counties:
Alamance, Randolph, Guilford, Davidson, Forsyth, Davie, Iredell, Alexander, Catawba