SEPTIC INSPECTION + CERTIFICATION
ORDER FORM

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If you would like to schedule an appointment for a septic inspection and certification please complete and send the following and one of our friendly staff will contact you with an available date and time. We will happily bill escrow for the cost of the inspection. If billing to escrow is needed please provide title company information.

Realtor Name
Realty Company
Email Address
Main Phone
Alternate Phone
Current Homeowner Name
Property Address
Tax Property ID #
Closing Date
Title Company
Escrow Agent Name
Escrow Agent Phone
Escrow Agent Email
Please Answer the following to the best of your ability at this time:
Number of Bedrooms in Home	1 2 3 4 5+	Year Built
Septic Tank Size/Capacity
Date of last pumping
Water Source
Size of Property
Is there water available onsite for the inspection?	If there is not water available, we will provide a water truck.
Please note any additional information you have about the septic system.