ABNA Structure Condition Survey ver. 08

• Conducted on

  Date

• Residents Full Name

• Site No.:

• Location
  Address

• Inspected by

• Document No. 16-6233

• Type of Structure

  Residential

  Commercial

• Property Sketch Photo(s)

  Media

• Property Description (Summary)

Exterior

Roof

• Roof Photo(s)

  Media

• Roof description

Exterior Profile

• Profile Photo(s)

  Media

• Profile description

Other Area

• Other Area Photo(s)

  Media

• Other Area description

Grounds

• Ground Photo(s)

  Media

• Grounds description

• Exterior Over All General Conditions:

  none

  some wear

  good

  damaged in need of repair

  fairly new

• Exterior Summary

Interior Room 01

• ROOM TITLE / NAME

WALL(s)

• Wall Photo(s)

  Media

• Wall description

CEILING

• Add Ceiling Photo(s)

  Media

• Ceiling Photo description

FLOORING

• Add Flooring Photo(s)

  Media

• Flooring Photo description

OTHER AREA

• Add Other Area Photo(s)

  Media

• Other Area Photo Description

• GENERAL CONDITIONS of this Interior:

  Good

  Fair

  Minor Cracks, Damage

  Cracks

  Water Damage

• General Interior Room SUMMARY 01

Interior Room 02

• ROOM TITLE / NAME

WALL(s)

• Add Wall Photo(s)

  Media

• Wall Photo description

CEILING

• Add Ceiling Photo(s)

  Media

• Ceiling Photo description

FLOORING

• Add Flooring Photo(s)

  Media

• Flooring Photo description

OTHER AREA

• Add Other Area Photo(s)

  Media

• Other Area Photo Description

• GENERAL CONDITIONS of this Interior:

  Good

  Fair

  Minor Cracks, Damage

  Cracks

  Water Damage

• General Interior Room SUMMARY 02

Interior Room 03

• ROOM TITLE / NAME

WALL(s)

• Add Wall Photo(s)

  Media

• Wall Photo description

CEILING

• Add Ceiling Photo(s)

  Media

• Ceiling Photo description

FLOORING

• Add Flooring Photo(s)

  Media

• Flooring Photo description

OTHER AREA

• Add Other Area Photo(s)

  Media

• Other Area Photo Description

• GENERAL CONDITIONS of this Interior:

  Good

  Fair

  Minor Cracks, Damage

  Cracks

  Water Damage

• General Interior Room SUMMARY 03

Interior Room 04

• ROOM TITLE / NAME

WALL(s)

• Add Wall Photo(s)

  Media

• Wall Photo description

CEILING

• Add Ceiling Photo(s)

  Media

• Ceiling Photo description

FLOORING

• Add Flooring Photo(s)

  Media

• Flooring Photo description

OTHER AREA

• Add Other Area Photo(s)

  Media

• Other Area Photo Description

• GENERAL CONDITIONS of this Interior:

  Good

  Fair

  Minor Cracks, Damage

  Cracks

  Water Damage

• General Interior Room SUMMARY 04

Interior Room 05

• ROOM TITLE / NAME

WALL(s)

• Add Wall Photo(s)

  Media

• Wall Photo description

CEILING

• Add Ceiling Photo(s)

  Media

• Ceiling Photo description

FLOORING

• Add Flooring Photo(s)

  Media

• Flooring Photo description

OTHER AREA

• Add Other Area Photo(s)

  Media

• Other Area Photo Description

• GENERAL CONDITIONS of this Interior:

  Good

  Fair

  Minor Cracks, Damage

  Cracks

  Water Damage

• General Interior Room SUMMARY 05

Interior Room 06

• ROOM TITLE / NAME

WALL(s)

• Add Wall Photo(s)

  Media

• Wall Photo description

CEILING

• Add Ceiling Photo(s)

  Media

• Ceiling Photo description

FLOORING

• Add Flooring Photo(s)

  Media

• Flooring Photo description

OTHER AREA

• Add Other Area Photo(s)

  Media

• Other Area Photo Description

• GENERAL CONDITIONS of this Interior:

  Good

  Fair

  Minor Cracks, Damage

  Cracks

  Water Damage

• General Interior Room SUMMARY 06

Interior Room 07

• ROOM TITLE / NAME

WALL(s)

• Add Wall Photo(s)

  Media

• Wall Photo description

CEILING

• Add Ceiling Photo(s)

  Media

• Ceiling Photo description

FLOORING

• Add Flooring Photo(s)

  Media

• Flooring Photo description

OTHER AREA

• Add Other Area Photo(s)

  Media

• Other Area Photo Description

• GENERAL CONDITIONS of this Interior:

  Good

  Fair

  Minor Cracks, Damage

  Cracks

  Water Damage

• General Interior Room SUMMARY 07

Interior Rooms 8

• ROOM TITLE / NAME

WALL(s)

• Add Wall Photo(s)

  Media

• Wall Photo description

CEILING

• Add Ceiling Photo(s)

  Media

• Ceiling Photo description

FLOORING

• Add Flooring Photo(s)

  Media

• Flooring Photo description

OTHER AREA

• Add Other Area Photo(s)

  Media

• Other Area Photo Description

• GENERAL CONDITIONS of this Interior:

  Good

  Fair

  Minor Cracks, Damage

  Cracks

  Water Damage

• General Interior Room SUMMARY 08

Interior Room 09

• ROOM TITLE / NAME

WALL(s)

• Add Wall Photo(s)

  Media

• Wall Photo description

CEILING

• Add Ceiling Photo(s)

  Media

• Ceiling Photo description

FLOORING

• Add Flooring Photo(s)

  Media

• Flooring Photo description

OTHER AREA

• Add Other Area Photo(s)

  Media

• Other Area Photo Description

• GENERAL CONDITIONS of this Interior:

  Good

  Fair

  Minor Cracks, Damage

  Cracks

  Water Damage

• General Interior Room SUMMARY 9

Interior Room 10

• ROOM TITLE / NAME

WALL(s)

• Add Wall Photo(s)

  Media

• Wall Photo description

CEILING

• Add Ceiling Photo(s)

  Media

• Ceiling Photo description

FLOORING

• Add Flooring Photo(s)

  Media

• Flooring Photo description

OTHER AREA

• Add Other Area Photo(s)

  Media

• Other Area Photo Description

• GENERAL CONDITIONS of this Interior:

  Good

  Fair

  Minor Cracks, Damage

  Cracks

  Water Damage

• General Interior Room SUMMARY 10

Interior Room 11

• ROOM TITLE / NAME

WALL(s)

• Add Wall Photo(s)

  Media

• Wall Photo description

CEILING

• Add Ceiling Photo(s)

  Media

• Ceiling Photo description

FLOORING

• Add Flooring Photo(s)

  Media

• Flooring Photo description

OTHER AREA

• Add Other Area Photo(s)

  Media

• Other Area Photo Description

• GENERAL CONDITIONS of this Interior:

  Good

  Fair

  Minor Cracks, Damage

  Cracks

  Water Damage

• General Interior Room SUMMARY 11

Interior Room 12

• ROOM TITLE / NAME

WALL(s)

• Add Wall Photo(s)

  Media

• Wall Photo description

CEILING

• Add Ceiling Photo(s)

  Media

• Ceiling Photo description

FLOORING

• Add Flooring Photo(s)

  Media

• Flooring Photo description

OTHER AREA

• Add Other Area Photo(s)

  Media

• Other Area Photo Description

• GENERAL CONDITIONS of this Interior:

  Good

  Fair

  Minor Cracks, Damage

  Cracks

  Water Damage

• General Interior Room SUMMARY 12

Interior Room 13

• ROOM TITLE / NAME

WALL(s)

• Add Wall Photo(s)

  Media

• Wall Photo description

CEILING

• Add Ceiling Photo(s)

  Media

• Ceiling Photo description

FLOORING

• Add Flooring Photo(s)

  Media

• Flooring Photo description

OTHER AREA

• Add Other Area Photo(s)

  Media

• Other Area Photo Description

• GENERAL CONDITIONS of this Interior:

  Good

  Fair

  Minor Cracks, Damage

  Cracks

  Water Damage

• General Interior Room SUMMARY 13

Interior Room 14

• ROOM TITLE / NAME

WALL(s)

• Add Wall Photo(s)

  Media

• Wall Photo description

CEILING

• Add Ceiling Photo(s)

  Media

• Ceiling Photo description

FLOORING

• Add Flooring Photo(s)

  Media

• Flooring Photo description

OTHER AREA

• Add Other Area Photo(s)

  Media

• Other Area Photo Description

• GENERAL CONDITIONS of this Interior:

  Good

  Fair

  Minor Cracks, Damage

  Cracks

  Water Damage

• General Interior Room SUMMARY 14

Interior Room 15

• ROOM TITLE / NAME

WALL(s)

• Add Wall Photo(s)

  Media

• Wall Photo description

CEILING

• Add Ceiling Photo(s)

  Media

• Ceiling Photo description

FLOORING

• Add Flooring Photo(s)

  Media

• Flooring Photo description

OTHER AREA

• Add Other Area Photo(s)

  Media

• Other Area Photo Description

• GENERAL CONDITIONS of this Interior:

  Good

  Fair

  Minor Cracks, Damage

  Cracks

  Water Damage

• General Interior Room SUMMARY 15

Interior Room 16

• ROOM TITLE / NAME

WALL(s)

• Add Wall Photo(s)

  Media

• Wall Photo description

CEILING

• Add Ceiling Photo(s)

  Media

• Ceiling Photo description

FLOORING

• Add Flooring Photo(s)

  Media

• Flooring Photo description

OTHER AREA

• Add Other Area Photo(s)

  Media

• Other Area Photo Description

• GENERAL CONDITIONS of this Interior:

  Good

  Fair

  Minor Cracks, Damage

  Cracks

  Water Damage

• General Interior Room SUMMARY 16

• Name

• Please check as applicable:

• Check the box, if you are the current resident?

  Yes

  No

• Has the roof been installed or repaired in the last 5 years?

• When was this?

• Are you aware of any cracks in the fondation?

• Yes

  No

  N/A

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

• Are you aware of any signs of settling, inside or outside the building?

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

• Has there been any sewer back ups or flooding on the property?

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

• Additional areas of concern (if applicable)?

• 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

  Sign

• Yes

  No

  N/A