Leave this field blank Please fill out the form below to initiate your Real Estate Inspection Request. Upon receipt of your preliminary request, our staff will email a more in-depth form for completion, which will include pricing for services requested. If you have any questions regarding the inspection process, please call the office to discuss. ***Once submitted, you will see a THANK YOU screen. If you do not see a THANK YOU screen, please contact the office or try again. What is the property address to be inspected? City Who is responsible for inspection fees? Buyer or Seller? Buyer Seller Responsible Party's Full Name Responsible Party's Phone Number Responsible Party's Email Is the septic system Conventional or Alternative? Conventional Alternative If the system is alternative, what is the type of septic system (if known) (optional) Responsible Party's Agent's Full Name Responsible Party's Agent's Phone Number Responsible Party's Agent's Email Closing Date Note: Any requests received within 10 days of closing will incur additional Rush Fees Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 2039 2040 Are you requesting? We strongly urge all clients to pump the system for a complete inspection of all components. If you are declining pumping our Report of Findings will state the tank was not pumped at time of inspection. Please make sure this will meet the terms and conditions of your contract before declining pumping. Inspection + Pump Out Inspection Only IMPORTANT: Miller's Services requires permission from the current homeowner/Seller to access the property and perform the inspection. If the Requestor is NOT the homeowner, please provide the contact information for the homeowner. If Requestor IS the homeowner, please type “same” in the fields below. FAILURE TO PROVIDE THIS CONTACT INFORMATION CAN CAUSE DELAYS IN SCHEDULING INSPECTION: If the requestor is not the Seller, please provide the SELLER'S FULL NAME If the requestor is not the Seller, provide the SELLER'S EMAIL ADDRESS SUBMIT