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Cooper Home Services
Serving Winston Salem, North Carolina and Surrounding Communities
State of North Carolina Home Inspector License #2412
NACHI License #08021603
Tom Cooper
Tel. No. 336-403-6627
Email: info@homeinspectionsbytom.com

Certified by the International Association of Certified Home Inspectors - Click here to verify.


Buyers' Agent: 


 
Buyers' Agent Email Address: 


 
Your Name: 


 
Address of property:


 
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Telephone Number: 


 
Fax Number:


 
Email Address: 


 
Property Type: 


 
Age of Home: 


 
Total Square Footage: 


 
Heated Square Footage: 


 
Foundation: 


 
# of Bedrooms: 


 
# of Bathrooms: 


 
Occupied: 


 
Utilities: 


 
Requested Date of Inspection: 


 
Requested Time of Inspection: 


 
Comments: 


 

 
 

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