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tÉlÉcharger npma-33 termite inspection form pdf

Wood Destroying Insect Inspection Report
Notice: Please read important consumer information on page 2.
Section I. General Information
Company’s Business Lic. No.
Date of Inspection
Inspection Company, Address & Phone
Address of Property Inspected
Inspector’s Name, Signature & Certification, Registration, or Lic. #
Structure(s) Inspected
Section II. Inspection Findings
This report is indicative of the condition of the above identified structure(s) on the date of inspection and is not to be construed as a
guarantee or warranty against latent, concealed, or future infestations or defects. Based on a careful visual inspection of the readily accessible areas of the structure(s)
inspected:
A. No visible evidence of wood destroying insects was observed.
B. Visible evidence of wood destroying insects was observed as follows:
1. Live insects (description and location):
2. Dead insects, insect parts, frass, shelter tubes, exit holes, or staining (description and location):
3. Visible damage from wood destroying insects was noted as follows (description and location):
NOTE: This is not a structural damage report. If box B above is checked, it should be understood that some degree of damage, including hidden damage, may be
present. If any questions arise regarding damage indicated by this report, it is recommended that the buyer or any interested parties contact a qualified structural
professional to determine the extent of damage and the need for repairs.
Yes
No
It appears that the structure(s) or a portion thereof may have been previously treated. Visible evidence of possible previous treatment:
The inspecting company can give no assurances with regard to work done by other companies. The company that performed the treatment should be contacted for information
on treatment and any warranty or service agreement which may be in place.
Section III. Recommendations
No treatment recommended: (Explain if Box B in Section II is checked)
Recommend treatment for the control of:
Section IV. Obstructions and Inaccessible Areas
The inspector may write out obstructions
or use the following optional key:
The following areas of the structure(s) inspected were obstructed or inaccessible:
1. Fixed ceiling
2. Suspended ceiling
3. Fixed wall covering
4. Floor covering
5. Insulation
6. Cabinets or shelving
7. Stored items
8. Furnishings
9. Appliances
10. No access or entry
11. Limited access
12.Noaccessbeneath
Basement
Crawlspace
Main Level
Attic
Garage
Exterior
Porch
Addition
Other
13. Only visual access
14. Cluttered condition
15. Standing water
16. Dense vegetation
17. Exterior siding
18. Window well covers
19. Wood pile
20. Snow
21. Unsafe conditions
22. Rigid foam board
23. Synthetic stucco
24. Duct work, plumbing,
and/or wiring
Section V. Additional Comments and Attachments (these are an integral part of the report)
Attachments
Signature of Seller(s) or Owner(s) if refinancing. Seller acknowledges that
Signature of Buyer. The undersigned hereby acknowledges receipt of a
all information regarding W.D.I. infestation, damage, repair, and treatment
history has been disclosed to the buyer.
copy of both page 1 and page 2 of this report and understands the information
reported.
X
X
Form NPMA-33 (9/01/04) © 2004 National Pest Management Association. All Rights Reserved. No reproduction of this form is permitted without the express permission of NPMA
Form NPCA-1 is obsolete after 12/31/04.
Page 1 of 2
Important Consumer Information Regarding
the Scope and Limitations of the Inspection
Please read this entire page as it is part of this report. This report is not a guarantee or warranty as to the absence of wood destroying
insects nor is it a structural integrity report. The inspector’s training and experience do not qualify the inspector in damage evaluation or
any other building construction technology and/or repair.
1.
About the Inspection: A visual inspection was conducted in the readily accessible areas of the structure(s) indicated (see Page
1) including attics and crawlspaces which permitted entry during the inspection. The inspection included probing and/or
sounding of unobstructed and accessible areas to determine the presence or absence of visual evidence of wood destroying
insects. The WDI inspection firm is not responsible to repair any damage or treat any infestation at the structure(s) inspected,
except as may be provided by separate contract. Also, wood destroying insect infestation and/or damage may exist in concealed
or inaccessible areas. The inspection firm cannot guarantee that any wood destroying insect infestation and/or damage disclosed
by this inspection represents all of the wood destroying insect infestation and/or damage which may exist as of the date of the
inspection. For purposes of this inspection, wood destroying insects include: termites, carpenter ants, carpenter bees, and
reinfesting wood boring beetles. This inspection does not include mold, mildew or noninsect wood destroying organisms.
This report shall be considered invalid for purposes of securing a mortgage and/or settlement of property transfer if not
used within ninety (90) days from the date of inspection. This shall not be construed as a 90-day warranty. There is no
warranty, express or implied, related to this report unless disclosed as required by state regulations or a written
warranty or service agreement is attached.
2.