Title Page
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Conducted on
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Residents Full Name
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Site No.:
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Location
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Inspected by
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Document No. 16-6233
Property Sketch
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Type of Structure
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Property Sketch Photo
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Property Description
Exterior
Exterior
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Profile(s)
Other Area Photo(s)
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Add Profiles Photo(s)
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Profile Photo description
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Roof
Other Area Photo(s)
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Add Roof Photo(s)
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Roof Photo description
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Grounds
Other Area Photo(s)
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Add Grounds Photo(s)
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Grounds Photo description
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Other Area
Other Area Photo(s)
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Add Other Area Photo(s)
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Other Area Ä‘escription
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Exterior Over All General Conditions:
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Exterior Summary
Interior
Interior Room 01
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ROOM TITLE / NAME
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WALL(s)
Wall Photo(s)
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Add Wall Photo(s)
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Wall Photo description
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CEILING
Wall Photo(s)
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Add Ceiling Photo(s)
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Ceiling Photo description
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FLOORING
Wall Photo(s)
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Add Flooring Photo(s)
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Flooring Photo description
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OTHER AREA
Wall Photo(s)
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Add Other Area Photo(s)
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Other Area Photo Description
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GENERAL CONDITIONS of this Interior:
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General Interior Room SUMMARY 01
Interior Rooms 02
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ROOM TITLE / NAME
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WALL(s)
Wall Photo(s)
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Add Wall Photo(s)
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Wall Photo description
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CEILING
Wall Photo(s)
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Add Ceiling Photo(s)
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Ceiling Photo description
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FLOORING
Wall Photo(s)
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Add Flooring Photo(s)
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Flooring Photo description
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OTHER AREA
Wall Photo(s)
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Add Other Area Photo(s)
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Other Area Photo Description
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GENERAL CONDITIONS of this Interior:
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General Interior Room SUMMARY 02
Interior Room 03
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ROOM TITLE / NAME
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WALL(s)
Wall Photo(s)
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Add Wall Photo(s)
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Wall Photo description
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CEILING
Wall Photo(s)
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Add Ceiling Photo(s)
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Ceiling Photo description
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FLOORING
Wall Photo(s)
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Add Flooring Photo(s)
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Flooring Photo description
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OTHER AREA
Wall Photo(s)
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Add Other Area Photo(s)
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Other Area Photo Description
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GENERAL CONDITIONS of this Interior:
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General Interior Room SUMMARY 03
Interior Room 04
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ROOM TITLE / NAME
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WALL(s)
Wall Photo(s)
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Add Wall Photo(s)
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Wall Photo description
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CEILING
Wall Photo(s)
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Add Ceiling Photo(s)
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Ceiling Photo description
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FLOORING
Wall Photo(s)
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Add Flooring Photo(s)
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Flooring Photo description
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OTHER AREA
Wall Photo(s)
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Add Other Area Photo(s)
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Other Area Photo Description
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GENERAL CONDITIONS of this Interior:
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General Interior Room SUMMARY 04
Interior Room 05
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ROOM TITLE / NAME
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WALL(s)
Wall Photo(s)
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Add Wall Photo(s)
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Wall Photo description
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CEILING
Wall Photo(s)
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Add Ceiling Photo(s)
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Ceiling Photo description
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FLOORING
Wall Photo(s)
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Add Flooring Photo(s)
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Flooring Photo description
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OTHER AREA
Wall Photo(s)
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Add Other Area Photo(s)
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Other Area Photo Description
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GENERAL CONDITIONS of this Interior:
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General Interior Room SUMMARY 05
Interior Room 06
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ROOM TITLE / NAME
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WALL(s)
Wall Photo(s)
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Add Wall Photo(s)
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Wall Photo description
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CEILING
Wall Photo(s)
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Add Ceiling Photo(s)
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Ceiling Photo description
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FLOORING
Wall Photo(s)
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Add Flooring Photo(s)
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Flooring Photo description
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OTHER AREA
Wall Photo(s)
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Add Other Area Photo(s)
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Other Area Photo Description
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GENERAL CONDITIONS of this Interior:
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General Interior Room SUMMARY 06
Interior Room 07
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ROOM TITLE / NAME
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WALL(s)
Wall Photo(s)
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Add Wall Photo(s)
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Wall Photo description
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CEILING
Wall Photo(s)
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Add Ceiling Photo(s)
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Ceiling Photo description
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FLOORING
Wall Photo(s)
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Add Flooring Photo(s)
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Flooring Photo description
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OTHER AREA
Wall Photo(s)
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Add Other Area Photo(s)
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Other Area Photo Description
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GENERAL CONDITIONS of this Interior:
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General Interior Room SUMMARY 07
Interior Rooms
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ROOM TITLE / NAME
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WALL(s)
Wall Photo(s)
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Add Wall Photo(s)
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Wall Photo description
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CEILING
Wall Photo(s)
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Add Ceiling Photo(s)
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Ceiling Photo description
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FLOORING
Wall Photo(s)
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Add Flooring Photo(s)
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Flooring Photo description
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OTHER AREA
Wall Photo(s)
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Add Other Area Photo(s)
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Other Area Photo Description
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GENERAL CONDITIONS of this Interior:
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General Interior Room SUMMARY 07
Interior Room 08
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ROOM TITLE / NAME
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WALL(s)
Wall Photo(s)
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Add Wall Photo(s)
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Wall Photo description
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CEILING
Wall Photo(s)
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Add Ceiling Photo(s)
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Ceiling Photo description
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FLOORING
Wall Photo(s)
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Add Flooring Photo(s)
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Flooring Photo description
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OTHER AREA
Wall Photo(s)
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Add Other Area Photo(s)
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Other Area Photo Description
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GENERAL CONDITIONS of this Interior:
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General Interior Room SUMMARY 08
Interior Room 09
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ROOM TITLE / NAME
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WALL(s)
Wall Photo(s)
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Add Wall Photo(s)
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Wall Photo description
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CEILING
Wall Photo(s)
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Add Ceiling Photo(s)
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Ceiling Photo description
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FLOORING
Wall Photo(s)
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Add Flooring Photo(s)
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Flooring Photo description
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OTHER AREA
Wall Photo(s)
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Add Other Area Photo(s)
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Other Area Photo Description
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GENERAL CONDITIONS of this Interior:
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General Interior Room SUMMARY 09
Interior Room 10
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ROOM TITLE / NAME
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WALL(s)
Wall Photo(s)
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Add Wall Photo(s)
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Wall Photo description
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CEILING
Wall Photo(s)
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Add Ceiling Photo(s)
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Ceiling Photo description
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FLOORING
Wall Photo(s)
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Add Flooring Photo(s)
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Flooring Photo description
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OTHER AREA
Wall Photo(s)
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Add Other Area Photo(s)
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Other Area Photo Description
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GENERAL CONDITIONS of this Interior:
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General Interior Room SUMMARY 10
Interior Room 11
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ROOM TITLE / NAME
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WALL(s)
Wall Photo(s)
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Add Wall Photo(s)
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Wall Photo description
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CEILING
Wall Photo(s)
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Add Ceiling Photo(s)
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Ceiling Photo description
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FLOORING
Wall Photo(s)
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Add Flooring Photo(s)
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Flooring Photo description
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OTHER AREA
Wall Photo(s)
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Add Other Area Photo(s)
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Other Area Photo Description
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GENERAL CONDITIONS of this Interior:
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General Interior Room SUMMARY 11
Interior Room 12
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ROOM TITLE / NAME
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WALL(s)
Wall Photo(s)
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Add Wall Photo(s)
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Wall Photo description
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CEILING
Wall Photo(s)
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Add Ceiling Photo(s)
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Ceiling Photo description
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FLOORING
Wall Photo(s)
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Add Flooring Photo(s)
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Flooring Photo description
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OTHER AREA
Wall Photo(s)
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Add Other Area Photo(s)
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Other Area Photo Description
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GENERAL CONDITIONS of this Interior:
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General Interior Room SUMMARY 12
Interior Room 13
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ROOM TITLE / NAME
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WALL(s)
Wall Photo(s)
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Add Wall Photo(s)
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Wall Photo description
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CEILING
Wall Photo(s)
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Add Ceiling Photo(s)
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Ceiling Photo description
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FLOORING
Wall Photo(s)
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Add Flooring Photo(s)
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Flooring Photo description
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OTHER AREA
Wall Photo(s)
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Add Other Area Photo(s)
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Other Area Photo Description
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GENERAL CONDITIONS of this Interior:
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General Interior Room SUMMARY 13
Interior Room 14
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ROOM TITLE / NAME
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WALL(s)
Wall Photo(s)
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Add Wall Photo(s)
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Wall Photo description
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CEILING
Wall Photo(s)
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Add Ceiling Photo(s)
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Ceiling Photo description
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FLOORING
Wall Photo(s)
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Add Flooring Photo(s)
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Flooring Photo description
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OTHER AREA
Wall Photo(s)
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Add Other Area Photo(s)
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Other Area Photo Description
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GENERAL CONDITIONS of this Interior:
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General Interior Room SUMMARY 14
Interior Room 15
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ROOM TITLE / NAME
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WALL(s)
Wall Photo(s)
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Add Wall Photo(s)
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Wall Photo description
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CEILING
Wall Photo(s)
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Add Ceiling Photo(s)
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Ceiling Photo description
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FLOORING
Wall Photo(s)
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Add Flooring Photo(s)
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Flooring Photo description
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OTHER AREA
Wall Photo(s)
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Add Other Area Photo(s)
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Other Area Photo Description
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GENERAL CONDITIONS of this Interior:
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General Interior Room SUMMARY 15
Property Interview
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Name
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Please check as applicable:
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Are you the current resident?
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Has the roof been installed or repaired in the last 5 years?
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When was this?
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Are you aware of any cracks in the fondation?
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Describe in detail, with approximate location and repair method if applicable.
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Are you aware of any signs of settling, inside or outside the building?
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Describe in detail, with approximate location and repair method if applicable.
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Has there been any sewer bsck ups or flooding on the property?
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Describe in detail, with approximate location and repair method if applicable.
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AAdditional areas of concern (if applicable)?
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Additional comments
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By signing below I confirm that the information provided is true and factual to the best of my knowledge at such time.
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Signature