DECK INSPECTION ORDER FORM

Please take a few moments and share with us what issues you have and how you hope that we can best help you. Describe the conditions and the details as you know them.

CLIENT INFORMATION
* PLEASE NOTE: Name, Address and Phone are required to submit this form.
FORM SUBMITTER: What is your relation to the transaction?
*Client's First Name: ONLINE SPECIAL
*Client's Last Name:
*Mailing Address:
.*City: *State:   *Zip:

*Email:

*Phone: Home Work Mobile
Second Phone: Home Work Mobile
PROPERTY INFORMATION
Inspection Fee is based on the information you provide.  Please fill in what you know.
*Property Inspection Address
*Street:
*City:

State:   Zip:

Out of area inspections require an travel fee.
Access:
*Utilities Status:

*Electricity
*Water
*Fuel

Style:

Year Built:
Square Footage:   Source:
Occupied: Yes No
Space Below Grade:

Garage:

Attached Detached

INSPECTION FEES
Specialty inspection fees are usually based upon the time needed for travel, on site, and preparing the report. This is usually based upon the rate of $135.00 per hour with a two hour minimum.
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SCHEDULING & PAYMENT INFORMATION
We will make every effort to meet your scheduling needs.
Inspection Deadline:
Time Preference:
AM PM NO PREFERENCE - Either AM or PM
Special Concerns and/or Comments
Method of Payment:

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Credit Card Check Cash

PLEASE NOTE: Payment is expected either:

  • 1) Before the inspection by faxing your credit card information to our office at 801-224-6207.
  • 2) On site at the conclusion of the inspection.
  • 3) Or you can mail the check to:
Michael Leavitt & Co
1145 N. Main Street
Orem, Utah 84057
DOWNLOAD CREDIT CARD PAYMENT FORM - To pay by credit card please download this PDF form, complete it, and then fax it to 801-224-6207.

Method of Payment
Cash
Check
Credit Card

PLEASE NOTE: Payment is expected either:

  • 1) Before the inspection by faxing your credit card information to our office at 801-224-6207.
  • 2) On site at the conclusion of the inspection.
  • 3) Or you can mail the check to:
Michael Leavitt & Co
1145 N. Main Street
Orem, Utah 84057
Credit Card Information
CARD TYPE

CREDIT CARD:This is a secure HTTPS payment form and your private information is encrypted. If you would prefer to fax your credit card information to us, then download the FAX PAYMENT FORM and fax it to 801-224-6207.

CREDIT CARD NUMBER:

EXPIRATION DATE - MONTH: YEAR:

NAME ON CARD:

SECURITY CODE ON BACK:

CHECK: If you are paying by check please mail payment to:

Michael Leavitt & Co
1145 N. Main Street
Orem, Utah 84057
CONTRACT APPROVAL

The inspection contract cannot be approved on line due to the varying nature of specialty inspections. We will draw up a special contract to cover the scope of the work requested.

. PLEASE ENTER HERE , THEN

MLC Inspections
Michael Leavitt
Michael Leavitt & Co Inspections, Inc.
1145 N. Main Street
Orem, Utah 84057
801-636-6816
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