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WORK REQUEST FORM
RESIDENTIAL PROPERTY CONTRACTING SERVICES
*Philadelphia and near surrounding area
WE DO NOT PROVIDE HANDYMAN SERVICES AT THIS TIME.
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* Indicates required question
Email
*
Your email
FIRST AND LAST NAME
*
Your answer
BEST CONTACT NUMBER
*
Your answer
PROPERTY ADDRESS
*
Your answer
ARE YOU THE HOMEOWNER?
*
Choose
Yes
No
Type of property:
*
Choose
My Primary Residence/Home
A Rental Property that I own
An Investment Property that I would like to flip
Other
PROPERTY COMMUNITY ASSOCIATION
*
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NONE
HMO - Home-Owners Association
Condo Association
Housing Cooperative
IS THE HOME CURRENTLY OCCUPIED?
*
Choose
Yes
No
WILL THRE BE OCCUPANTS DURING THE WORK?
*
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Yes
No
IS ANY PART OF THE WORK PART OF AN INSURANCE CLAIM?
*
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Yes
No
WILL WE NEED TO WORK WITH YOUR FUNDING SOURCE/INSTITUTION DURING THIS PROJECT?
*
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Yes
No
SCOPE OF WORK / DESCRIPTION OF JOB
*
Your answer
PROJECT BUDGET
*
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$75,000 and up
$55,000 - $75,000
$35,000 - $55,000
$15,000 - $35,000
$5,000 - $15,000
$5,000 and under
DESIRED PROJECT BEGINNING DATE - IF ANY
MM
/
DD
/
YYYY
DESIRED PROJECT COMPLETION DATE - IF ANY
MM
/
DD
/
YYYY
ANY ADDITIONAL INFORMATION
Your answer
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