Wells Inspection Services, Inc.

P.O. Box 3222, Chapel Hill, NC 27515 866.968.4981 (toll free)

155 Meadows Lane, Swansboro, NC 28584 919.968.4981 (phone)

wellsinspections.com 919.968.8573 (fax)

ron@wellsinspections.com

Home Inspection Order Form

The following information is necessary in order to schedule an inspection, receive a fee quote and

for follow up communications. For a fee quote ONLY, the information in RED is required. You

can also refer to the Fee Schedule on the web page: wellsinspections.com.

Age of the Property (year built)

Are there any Apartments in the Property?

Fee Quote:

Inspection Scheduling Information:

Preferred Day for Inspection?

Preferred Time for Inspection (9am or 2pm)

Client Information:

Name(s) of Clients

Mailing Address

E-Mail Address

Sales Agent Phone Number

Will Sales Agent contact Listing Agent?

Is Sales Agent to receive a copy of the

report?

Listing Agent information if we are to

contact

Owners Name and Phone Number (if

For Sale by Owner)

Once a scheduled time has been agreed upon by all parties then a Home Inspection contract will

be emailed or mailed to the client confirming the above information and the method of payment.