Berliner and Finn Real Estate R E P A I R B I D / I N S P E C T I O N

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R E P A I R B I D / I N S P E C T I O N REAL PROPERTY LOCATED AT: AS OF: CONTRACTOR: BY: REPAIR BID/INSPECTION MultiForm.com 800-235-1600

Contractor Name: REPAIR BID / INSPECTION FORM File #: PROPERTY ADDRESS: Telephone #: Fax #: Tax ID# & Type: Email: Rekeyed? Lockbox Code: Trash Removed? Winterized? Utilities:(Y/N) Elec: Water: Gas: Sq.Footage: Estimated Days to Complete: Description of Work 1. CARPET (TYPE: L = Lender Required C=Cosmetic H = Hazardous Condition V = Vandalism CR = Code Required) Cost Carpet Cleaning: Carpet Repair: Carpet Replace: Sq.ft. x price per sq. ft. TOTAL FOR ITEM 1, Carpet (L,C,H,V,CR) Type 2. VINYL, OTHER FLOORING Vinyl Repair: Vinyl Replace: Sq.ft. x price per sq. ft. Subfloor Repair/Replace: Tile Repair/Replace: E. TOTAL FOR ITEM 2, Vinyl/Other Flooring 3. INTERIOR PAINT Walls: Ceiling: Doors: Trim Only: Total House: TOTAL FOR ITEM 3, Interior Paint 4. EXTERIOR PAINT Doors: Siding: Windows: Trim Only: Total House: TOTAL FOR ITEM 4, Exterior Paint 5. APPLIANCES Range, Cooktop, Oven: Vent Hood: Disposal: Dishwasher: E. Water Heater: F. TOTAL FOR ITEM 5, Appliances 6. CLEANING Final Sale: TOTAL FOR ITEM 6, Cleaning 7. ELECTRICAL Breaker/Wiring,Repair: Breaker/Wiring,Replace: Fixture Repair/Replace: Outlets,Switches: E. Globes, Switch Plates: F. Smoke Detectors: G: TOTAL FOR ITEM 7, Electrical 8. HEATING/AIR Condenser Repair/Replace: Furnace Repair/Replace: Thermostat Repair/Replace: Ductwork, Grills: E. Service Call, Filters: F. TOTAL FOR ITEM 8, Heating/Air REPAIR BID/INSPECTION FORM (0111) Page 1 of 2 MultiForm.com 800-235-1600

REPAIR BID / INSPECTION FORM 9. PLUMBING Interior Pipes: Exterior Pipes: Faucets, Repair/Replace: Sinks, Toilets: E. Showers/Tubs: F. Well Pump, Main line: G. Winterization/De-winterization: H. TOTAL FOR ITEM 9, Plumbing 10. ROOFING Repair Leak: Replace Shingles: Roof Replacement: Guarantee: No. of Years: E. F. Decking: Flashing: TOTAL FOR ITEM 10, Roofing 11. STRUCTURAL Engineering Inspection: Grading: Gutters: Foundation: E. Underpinning, Mudjack: F. Epoxy, Masonry: G. TOTAL FOR ITEM 11, Structural 12. WALLPAPER/SHEETROCK/MIRRORS Drywall Repair/Replace: Wallpaper Removal: Wallpaper Replace: Mirrors: E. TOTAL FOR ITEM 12, Wallpaper,Sheetrock,Mirrors 13. CARPENTRY IN/OUT Cabinets, Hardware: Counter Tops: Exterior Doors, Hardware: Exterior Trim, Siding: E. Interior Doors, Hardware: F. Interior Trim: G. Remove Illegal Room: H. Garage Doors: I. Fence Repair/Replace: J. Patio Cover Repair: K. Screens Repair/Replace: L. Window Reglazing: M. TOTAL FOR ITEM 13, Carpentry In/Out 14. POOL Pool startup: Acid Wash: Equipment Repair: Equipment Replace: E. TOTAL FOR ITEM 14, Pool 15. OTHERS REPAIRS E. TOTAL FOR ITEM 15, Other Repairs Total Items 9-14 from this page Total Items 1-8 from page 1 GRAND TOTAL BOTH PAGES REPAIR BID/INSPECTION FORM (0111) Page 2 of 2 MultiForm.com 800-235-1600

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