Title Page

  • Conducted on

  • Residents Full Name

  • Site No.

  • Location
  • Inspected by

  • Document No. 16-6233

Property Sketch

  • Type of Structure

  • Property Sketch Photo

  • Property Description

Exterior

Exterior

    Roof
  • Roof Photo(s)

  • Roof description

  • Exterior Profile
  • Profile Photo(s)

  • Profile description

  • Grounds
  • Ground Photo(s)

  • Grounds description

  • Other Area
  • Other Area Photo(s)

  • Other Area description

  • Exterior Over All General Conditions:

  • Exterior Summary

Interior

Interior Room 01

  • ROOM TITLE / NAME

  • WALL(s)
  • Wall Photo(s)

  • Wall description

  • CEILING
  • Add Ceiling Photo(s)

  • Ceiling Photo description

  • FLOORING
  • Add Flooring Photo(s)

  • Flooring Photo description

  • OTHER AREA
  • Add Other Area Photo(s)

  • Other Area Photo Description

  • GENERAL CONDITIONS of this Interior:

  • General Interior Room SUMMARY 01

Interior Rooms 02

  • ROOM TITLE / NAME

  • WALL(s)
  • Add Wall Photo(s)

  • Wall Photo description

  • CEILING
  • Add Ceiling Photo(s)

  • Ceiling Photo description

  • FLOORING
  • Add Flooring Photo(s)

  • Flooring Photo description

  • OTHER AREA
  • Add Other Area Photo(s)

  • Other Area Photo Description

  • GENERAL CONDITIONS of this Interior:

  • General Interior Room SUMMARY 02

Interior Room 03

  • ROOM TITLE / NAME

  • WALL(s)
  • Add Wall Photo(s)

  • Wall Photo description

  • CEILING
  • Add Ceiling Photo(s)

  • Ceiling Photo description

  • FLOORING
  • Add Flooring Photo(s)

  • Flooring Photo description

  • OTHER AREA
  • Add Other Area Photo(s)

  • Other Area Photo Description

  • GENERAL CONDITIONS of this Interior:

  • General Interior Room SUMMARY 03

Interior Room 04

  • ROOM TITLE / NAME

  • WALL(s)
  • Add Wall Photo(s)

  • Wall Photo description

  • CEILING
  • Add Ceiling Photo(s)

  • Ceiling Photo description

  • FLOORING
  • Add Flooring Photo(s)

  • Flooring Photo description

  • OTHER AREA
  • Add Other Area Photo(s)

  • Other Area Photo Description

  • GENERAL CONDITIONS of this Interior:

  • General Interior Room SUMMARY 04

Interior Room 05

  • ROOM TITLE / NAME

  • WALL(s)
  • Add Wall Photo(s)

  • Wall Photo description

  • CEILING
  • Add Ceiling Photo(s)

  • Ceiling Photo description

  • FLOORING
  • Add Flooring Photo(s)

  • Flooring Photo description

  • OTHER AREA
  • Add Other Area Photo(s)

  • Other Area Photo Description

  • GENERAL CONDITIONS of this Interior:

  • General Interior Room SUMMARY 05

Interior Room 06

  • ROOM TITLE / NAME

  • WALL(s)
  • Add Wall Photo(s)

  • Wall Photo description

  • CEILING
  • Add Ceiling Photo(s)

  • Ceiling Photo description

  • FLOORING
  • Add Flooring Photo(s)

  • Flooring Photo description

  • OTHER AREA
  • Add Other Area Photo(s)

  • Other Area Photo Description

  • GENERAL CONDITIONS of this Interior:

  • General Interior Room SUMMARY 06

Interior Room 07

  • ROOM TITLE / NAME

  • WALL(s)
  • Add Wall Photo(s)

  • Wall Photo description

  • CEILING
  • Add Ceiling Photo(s)

  • Ceiling Photo description

  • FLOORING
  • Add Flooring Photo(s)

  • Flooring Photo description

  • OTHER AREA
  • Add Other Area Photo(s)

  • Other Area Photo Description

  • GENERAL CONDITIONS of this Interior:

  • General Interior Room SUMMARY 07

Interior Rooms 08

  • ROOM TITLE / NAME

  • WALL(s)
  • Add Wall Photo(s)

  • Wall Photo description

  • CEILING
  • Add Ceiling Photo(s)

  • Ceiling Photo description

  • FLOORING
  • Add Flooring Photo(s)

  • Flooring Photo description

  • OTHER AREA
  • Add Other Area Photo(s)

  • Other Area Photo Description

  • GENERAL CONDITIONS of this Interior:

  • General Interior Room SUMMARY 08

Interior Room 09

  • ROOM TITLE / NAME

  • WALL(s)
  • Add Wall Photo(s)

  • Wall Photo description

  • CEILING
  • Add Ceiling Photo(s)

  • Ceiling Photo description

  • FLOORING
  • Add Flooring Photo(s)

  • Flooring Photo description

  • OTHER AREA
  • Add Other Area Photo(s)

  • Other Area Photo Description

  • GENERAL CONDITIONS of this Interior:

  • General Interior Room SUMMARY 09

Interior Room 10

  • ROOM TITLE / NAME

  • WALL(s)
  • Add Wall Photo(s)

  • Wall Photo description

  • CEILING
  • Add Ceiling Photo(s)

  • Ceiling Photo description

  • FLOORING
  • Add Flooring Photo(s)

  • Flooring Photo description

  • OTHER AREA
  • Add Other Area Photo(s)

  • Other Area Photo Description

  • GENERAL CONDITIONS of this Interior:

  • General Interior Room SUMMARY 10

Interior Room 11

  • ROOM TITLE / NAME

  • WALL(s)
  • Add Wall Photo(s)

  • Wall Photo description

  • CEILING
  • Add Ceiling Photo(s)

  • Ceiling Photo description

  • FLOORING
  • Add Flooring Photo(s)

  • Flooring Photo description

  • OTHER AREA
  • Add Other Area Photo(s)

  • Other Area Photo Description

  • GENERAL CONDITIONS of this Interior:

  • General Interior Room SUMMARY 11

Interior Room 12

  • ROOM TITLE / NAME

  • WALL(s)
  • Add Wall Photo(s)

  • Wall Photo description

  • CEILING
  • Add Ceiling Photo(s)

  • Ceiling Photo description

  • FLOORING
  • Add Flooring Photo(s)

  • Flooring Photo description

  • OTHER AREA
  • Add Other Area Photo(s)

  • Other Area Photo Description

  • GENERAL CONDITIONS of this Interior:

  • General Interior Room SUMMARY 12

Interior Room 13

  • ROOM TITLE / NAME

  • WALL(s)
  • Add Wall Photo(s)

  • Wall Photo description

  • CEILING
  • Add Ceiling Photo(s)

  • Ceiling Photo description

  • FLOORING
  • Add Flooring Photo(s)

  • Flooring Photo description

  • OTHER AREA
  • Add Other Area Photo(s)

  • Other Area Photo Description

  • GENERAL CONDITIONS of this Interior:

  • General Interior Room SUMMARY 13

Interior Room 14

  • ROOM TITLE / NAME

  • WALL(s)
  • Add Wall Photo(s)

  • Wall Photo description

  • CEILING
  • Add Ceiling Photo(s)

  • Ceiling Photo description

  • FLOORING
  • Add Flooring Photo(s)

  • Flooring Photo description

  • OTHER AREA
  • Add Other Area Photo(s)

  • Other Area Photo Description

  • GENERAL CONDITIONS of this Interior:

  • General Interior Room SUMMARY 14

Interior Room 15

  • ROOM TITLE / NAME

  • WALL(s)
  • Add Wall Photo(s)

  • Wall Photo description

  • CEILING
  • Add Ceiling Photo(s)

  • Ceiling Photo description

  • FLOORING
  • Add Flooring Photo(s)

  • Flooring Photo description

  • OTHER AREA
  • Add Other Area Photo(s)

  • Other Area Photo Description

  • GENERAL CONDITIONS of this Interior:

  • General Interior Room SUMMARY 15

Interior Room 16

  • ROOM TITLE / NAME

  • WALL(s)
  • Add Wall Photo(s)

  • Wall Photo description

  • CEILING
  • Add Ceiling Photo(s)

  • Ceiling Photo description

  • FLOORING
  • Add Flooring Photo(s)

  • Flooring Photo description

  • OTHER AREA
  • Add Other Area Photo(s)

  • Other Area Photo Description

  • GENERAL CONDITIONS of this Interior:

  • General Interior Room SUMMARY 16

Property Interview

  • Name of Respondent(s)

  • Please check as applicable:

  • 01. Are you the current resident?

  • Full name of Resident

  • 02. Has the roof been installed or repaired in the last 10 years?

  • When was this? And describe the repair.

  • 03. Check the box, if you are aware of any cracks in the fondation?

  • Describe in detail, with approximate location and repair method if applicable.

  • 04. Check the box, if you are you aware of any signs of settling, inside or outside the building?

  • Describe in detail, with approximate location and repair method if applicable.

  • 05. Check the box, if you are aware of any sewer back-ups or flooding on the property?

  • Describe in detail, with approximate location and repair method if applicable.

  • 06. Additional areas of concern (if applicable)?

  • 07. Additional comments

  • By signing below I confirm that the information provided is true and factual to the best of my knowledge at such time.

  • Signature

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