Please fill out the questionnaire below and click on the submit button at the end.  This information will be helpful in answering any
questions you might have regarding your Home inspection and price quote or contact me by phone at:
Contact Us
Cummins Home Inspection
Contact Information
Mr.
Mrs.
 Miss
 First Name
 Last Name
Address
City
 State
 Zip Code
Home Phone
 Cell Phone
 Work Phone
Email Address
Are you the Buyer or the Seller?
 Buyer
 Seller
Property Located at:
 Address
City
 State
 Zip Code
Property Details:
 House Type-
Square Feet
 Age of House
Number of:
 Bedrooms
 Bathrooms
 Fireplaces
Type of Foundation -
 Is there a Basement?
Is there a Garage?
 Is it attached to the House?
How large is the Garage?
What type of Sewer system?
 What Type of Water System?
What type of Furnace?
 What type of Water Heater?
Are the Utilities turned on or off?
 Are the Pilots lit on gas appliances?
Are there additional buildings on the
property that you want inspected?
 If so how many?
Is the property occupied right now?
How soon do you need the inspection?
Who will provide access to the property?
Real Estate Agent information-
 Company Name
Name
Address
Phone Number
Seller Information
 Seller/ Owner Name
Phone Number
Questions or Comments
Joe Cummins
Little Rock, Arkansas
Phone - 501-847-3120
Cell - 501-366-0906
Fax - 501-847-6684
email - jodcummins@msn.com