Home Assessment Questionnaire

HOME ASSESSMENT QUESTIONNAIRE

Parties and Property

This Home Assessment Questionnaire and accompanying engagement constitute an agreement between Assessor: and Client: regarding the inspection and assessment of the property identified above.

WHEREAS

WHEREAS, Client desires a professional visual assessment of the specified property for the purpose of identifying observable conditions, safety concerns, and systems status; and

WHEREAS, Assessor represents that Assessor has the training, experience, and insurance customary for performing home assessments and agrees to perform the assessment in accordance with the Scope of Work set forth below.

Scope of Work

Assessor will perform a visual, non-invasive inspection of the property and prepare a written report describing observed conditions, material defects noted at the time of inspection, and recommendations for further evaluation where appropriate. The Scope includes assessment of accessible structural components, roof surface (from ground or accessible vantage), visible foundation elements, major mechanical systems, plumbing, electrical distribution, built-in appliances, and safety systems.

Property Details

Property Type: Single-family Multi-family Condominium Townhouse

Year Built:    Square Footage:    Lot Size:

Bedrooms:    Bathrooms:    Floors/Levels:

Occupancy & Access

Is the property currently occupied? Yes No

Systems & Components (Check all that apply)

HVAC: Present    Good    Needs Repair    Notes:

Plumbing: Present    Good    Needs Repair    Notes:

Electrical: Present    Good    Needs Repair    Service Amps:

Roof: Present    Good    Needs Repair    Material/Age:

Foundation: Appears Stable    Cracks Observed    Notes:

Hazards & Environmental

Asbestos suspected: Yes No    Lead paint suspected: Yes No    Mold observed: Yes No

Renovations, Repairs & Attachments

Payment Terms

Fee Amount: $ . Payment is due in accordance with the schedule selected below. Client agrees to pay reasonable costs of additional services beyond the Scope of Work.

Payment Schedule: Flat fee on completion Deposit required: Hourly: $

Late Payment: Client agrees that any undisputed amount not received within days of invoice will accrue interest at or the maximum permitted by law, plus reasonable collection costs.

Term and Termination

This engagement commences on and terminates upon delivery of the final written report or on , whichever occurs first. Either party may terminate this engagement for convenience upon days' written notice. Termination does not relieve Client of payment obligations for services rendered prior to termination.

Confidentiality

Assessor and Client each agree that confidential information obtained in the course of performance of this engagement will be held in confidence and used solely for purposes related to this assessment. Confidential information does not include information that is or becomes publicly available through no breach of this agreement, is independently developed, or is required to be disclosed by law, regulation, or valid legal process, provided the disclosing party is given prompt written notice to seek protective measures.

Governing Law

This Agreement shall be governed by and construed in accordance with the laws of the State of , without regard to its conflict of law principles. The parties agree that any dispute arising from this engagement will be resolved pursuant to the dispute resolution terms selected below.

Mediation required prior to litigation Binding arbitration Litigation in state court

Entire Agreement

This document, together with any attachments and written amendments signed by both parties, constitutes the entire agreement between Assessor and Client regarding the subject matter hereof and supersedes all prior negotiations, proposals, representations, or agreements, whether written or oral.

Representations and Authorization

Client represents that Client is the owner or authorized agent of the property and has authority to permit access for the assessment. Client authorizes Assessor to enter the Property for the purposes set forth herein and to photograph observable conditions. Client acknowledges that the assessment is not a guarantee or warranty of future performance of systems or components.

Client authorizes Assessor to proceed with the assessment: Yes No

Additional Comments

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