Ph: 808-864-1879

P.O. Box 31326
Honolulu, HI 96820

Inspection Confirmation Form
1) Call to set inspection date and time.
2) Fill out and submit this completed form:

Agents, please email the "Customer Full Page" MLS link to: americancertified@hawaii.rr.com

In an effort to provide a complete and comprehensive inspection and transaction for you and your client the information below is necessary for expediting this process. This inspection confirmation will be submitted directly to me when you click the "Send Form" button below. The report will be available on the website, usually within 24 hours, which you may access with the inspection number that you will be given at the time of your inspection. Receipt of this completed form confirms the inspection date and client/agent acknowledgment/confirmation of the Service Agreement with American Certified Home Inspection, LLC. In our attempt to provide a more complete service, all fields must be filled in to bill through escrow.

Scheduled Date of Inspection: Time: Property Address: City State Select Below Military AA Military AE Alaska Alabama Military AP Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Guam Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Virgin Islands Vermont Washington Wisconsin West Virginia Wyoming Zip Combo/Entry Instructions: . Buyer's Name: Buyer's Email Address: Buyer's Mailing Address: Buyer's City: Buyer's State: Buyer's Zip: . Agent's Name: Company/Branch: Agent's Contact #: Agent's Email Address: . The following is required if billing through escrow: Escrow Company: Escrow Officer: Escrow Officer's Email Address: Escrow # or Transaction Name: . Scheduled Date of Closing:

Type the characters you see in the picture above. Letters are not case sensitive.