Take 2 Home Inspections Pre-Purchase Building Inspection Secure Order Form

Please enter the information requested below from a computer.
All information entered is encryption secured.
(Please note: Filling out this form using a tablet or smart phone may be very slow, generally problematic and is not recommended).

Click on a field to show a list of choices, where relevant.
Fields with a red label are essential to enable us to organise your inspection.
If you click the SEND button at the bottom of this form and you do not receive a SUCCESS message,
check back up through the form for any empty red labelled fields or fields with data not selected from the provided list.
These fields will show a red error message to remind you to fill in or correct the essential information.
Note that phone fields will only accept numbers.

If you are experiencing form submission difficulties, please call us on 0411 232 483.

Purchaser First Name

Purchaser Last Name

Purchaser Title

Contact Mobile Phone

Contact Home Phone

Contact Work Phone

Contact E-mail 1

Contact E-mail 2

Partner First Name

Partner Surname (If Different)

Partner Title

Partner Mobile Phone

Contact Postal Address 1 (Eg: 123 Example Street - Enter Suburb Below)

Contact Postal Address 2 (Other Address Information, If Required)

Contact Postal Address 3 (Other Address Information, If Required)

Contact Postal Suburb, State & Postcode
(Please Click The Box And Begin Typing The Suburb Name Until It Appears, Then Click On Your Selected Suburb.
If You Have Any Problems Just Type The Suburb Name Into The Field)

Please Select Your Required Pre-purchase Building Inspection Service Level.
(Click The Box And Then Your Selection)

Please Describe Any Concerns That You Have About The Building

What Is The Report Deadline Date As Per Your Contract?
(Click The Box And Then Your Selection)

What Is The Report Deadline Time As Per Your Contract?

Please Provide A Brief Description Of The Property (For Example: 1970's Single Storey 4x2 Brick and Tile)

Will You Be Living In The Property Or Is It For Investment Purposes? (Click The Box And Then Your Selection)

If You Know, What Tyoe Of Floor Does The Building Have? (Click The Box And Then Your Selection)

Who Is Living In The Property At The Moment? (Click The Box And Then Your Selection)

Please Provide Any Directions That Will Help Us Find The Property More Easily

Property Address 1 (Eg: 123 Example Street - Enter Suburb Below)

Property Address 2 (Other Address Information, If Required)

Property Address 3 (Other Address Information, If Required)

Property Suburb, State & Postcode
(Please Click The Box And Begin Typing The Suburb Name Until It Appears, Then Click On Your Selected Suburb.
If You Have Any Problems Just Type The Suburb Name Into The Field)

Please Provide Any Details That You Know About The Real Estate Agent You Are Buying The Property Through:

Real Estate Agent's First Name

Real Estate Agent's Surname

Real Estate Agent's Title

Real Estate Agent's Company

Real Estate Agent's Mobile Phone

Real Estate Agent's Work Phone

Real Estate Agent's Email

Real Estate Agent's Office Address 1 (Eg: 123 Example Street - Enter Suburb Below)

Real Estate Agent's Office Address 2 (Other Address Information, If Required)

Real Estate Agent's Office Address 3 (Other Address Information, If Required)

Real Estate Agent's Office Suburb, State & Postcode
(Please Click The Box And Begin Typing The Suburb Name Until It Appears, Then Click On Your Selected Suburb.
If You Have Any Problems Just Type The Suburb Name Into The Field)

If There Are Two Real Estate Agents Involved, Please Provide Any Details That You Know About The Second Real Estate Agent:

Second Real Estate Agent's First Name

Second Real Estate Agent's Surname

Second Real Estate Agent's Title

Second Real Estate Agent's Company

Second Real Estate Agent's Mobile Phone

Second Real Estate Agent's Work Phone

Second Real Estate Agent's Email

Second Real Estate Agent's Office Address 1 (Eg: 123 Example Street - Enter Suburb Below)

Second Real Estate Agent's Office Address 2 (Other Address Information, If Required)

Second Real Estate Agent's Office Address 3 (Other Address Information, If Required)

Second Real Estate Agent's Office Suburb, State & Postcode
(Please Click The Box And Begin Typing The Suburb Name Until It Appears, Then Click On Your Selected Suburb.
If You Have Any Problems Just Type The Suburb Name Into The Field)

How Did You Find Out About Us?
(Click The Box Below And Then Your Selection)
If Either Of The Above Real Estate Agents Referred You, Just Select Which Agent. There Is No Need To Fill In Their Details Again.
Otherwise, Please Give Us Any Information That You Have About Any Person Who Told You About Us; Including From Internet Forums.
We Really Like To Thank People Who Send Us Business

Person Who Referred You:

First Name

Person Who Referred You Surname

Person Who Referred You Title

Person Who Referred You Company

Person Who Referred You Mobile Phone

Person Who Referred You Home Phone

Person Who Referred You Email

Person Who Referred You Address 1 (Eg: 123 Example Street - Enter Suburb Below)

Person Who Referred You Address 2 (Other Address Information, If Required)

Person Who Referred You Address 3 (Other Address Information, If Required)

Person Who Referred You Suburb, State & Postcode
(Please Click The Box And Begin Typing The Suburb Name Until It Appears, Then Click On Your Selected Suburb.
If You Have Any Problems Just Type The Suburb Name Into The Field)

Please Choose A Payment Method.
(Click The Box And Then Your Selection).
Note: A $50 Discount Off The Full Price Applies If Your Payment Is Received By Take 2 Home Inspections BEFORE The Day Of The Inspection.
If You Select Branch Deposit Or EFT, Please Make A Note Of Our Payment Details Prior To Leaving This Field:
(PayID-ABN: 80 092 374 938 or EFT Bendigo Bank BSB: 633-000 Ac: 118 527 829).

If You Have Chosen To Pay By Debit or Credit Card, Please Enter Your Card Details Below.
(Note: This Is A Secure Form).
Your Card Will Not Be Processed Online; It Will Be Processed From Our Office After Confirming Access Arrangements For Your Inspection:

Card Type

Card Name

Card Number

Card Expiry

Card CCV

There Is No Need To Enter Settlement Agent Details If You Have Chosen To Pay By Credit Card Or EFT.

If You Have Chosen To Pay At Settlement Of The Property, Please Enter:
The Anticipated Property Settlement Date.
Please Note That Payment Of Our Invoice Is Required Within a Maximum of 60 Days From The Date Of Our Inspection

Settlement Agent's First Name

Settlement Agent's Surname

Settlement Agent's Title

Settlement Agent's Company

Settlement Agent's Mobile Phone

Settlement Agent's Work Phone

Settlement Agent's Email

Settlement Agent's Office Address 1 (Eg: 123 Example Street - Enter Suburb Below)

Settlement Agent's Office Address 2 (Other Address Information, If Required)

Settlement Agent's Office Address 3 (Other Address Information, If Required)

Settlement Agent's Office Suburb, State & Postcode
(Please Click The Box And Begin Typing The Suburb Name Until It Appears, Then Click On Your Selected Suburb.
If You Have Any Problems Just Type The Suburb Name Into The Field)

To send this form please tick the box to agree to the Standard Conditions of Service, click on the "I'm not a robot" box below and click the "Send Order" button below that.

If you click the send button and this form does not clear from your screen and you do not receive the "SUCCESS!" submission confirmation message, then please check back for form fields highlighted in red and enter or correct the required data. Note that phone fields will only accept numbers.

If you are experiencing form submission difficulties, please call Peter on 0411 232 483.

If you have any suggestions for improvement or any other relevant information that you would like to let us know, please enter it here: