Termite Inspection Request
To schedule a termite inspection, please call us or FAX us this form with as much information as pertains to your property
   Please FAX this form to: (916) 338-0500

  Hanson's
 Certified Termite Inspections, Inc.
 5777 Madison Avenue, Suite 820
 Sacramento, California 95841
 (916) 338-4300 FAX (916) 338-0500

       Property to be Inspected
  Street Address
   City, State, Zip
  Thomas Brothers  _________                            Slab
  Number of Units   _________                            Crawl

  Remarks
  __________________________________________
  __________________________________________
  __________________________________________
  __________________________________________
  Property Owner   Property Occupant
 Name  Name
 Street Address  Office Phone                    Home Phone
 City, State, Zip    Key Arrangements
 __________________________________________
 __________________________________________
 __________________________________________
 __________________________________________
 Office Phone                      Home Phone
 FAX Phone
  Seller's Agent    Buyer's Agent
 Name  Name
 Company  Company
 Street Address  Street Address
 City, State, Zip  City, State, Zip
 Office Phone  Office Phone
 FAX Phone  Fax Phone
  Title Company   Authorization
 Company  I authorize the termite inspector to enter the above
 property to perform a Structural Pest Control Inspection.

   The inspection fee will be paid by:
   __ The property owner.
   __ The buyer.
   __ Billed to the above escrow.
   __ Other
 
Signed ________________________________
 Escrow Number
 Escrow Officer
 Street Address
 City, State, Zip
 Office Phone                       FAX Phone