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Gulf Coast Inspection Inc.

Inspection Contract

BE IT KNOWN, that ______________________ ___________fully, completely, unconditionally discharges and releases inspector Gary Middleton, Gulf Coast Inspection Inc, its agents, and employees, from any liability of any kind alleged to arise of Gary Middleton’s inspection of the property listed below. Regardless of the legal theory employed, including all claims whether know or unknown, from the beginning of time to the end of the world.

Client agrees to release Gary Middleton and Gulf Coast Inspection, Inc from all future problems that allegedly arises from the inspection.

Address of Property Inspected: ________________________________________

Client: ___________________________________ Phone: ___________________

Realtor: __________________________________ Phone: ___________________

Listing Agent: _____________________________Phone: ____________________

Client Email: ________________________________________________________

Realtor Email: ______________________________________________________

Inspection Fee Amount: _________________

BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTAND AND AGREE TO THE INSPECTION AGREEMENT ABOVE. YOU ALSO AGREE TO PAY THE FEE AGREED UPON.

CLIENT PRINT: ____________________________ DATE: ____________________

CLIENT SIGN: ______________________________ DATE: ___________________

INSPECTOR SIGN: ________________________________ DATE: ______________

BY SIGNING AND CIRCLING THE BOX BELOW, YOU ARE GIVING GCI, INC PERMISSION TO GIVE YOUR REALTOR ONLY A COPY OF THIS REPORT.

YES NO SIGNATURE:__________________________________________________

COPYRIGHT GCI2000