Dan Kopp, ASHI Certified Inspector
Serving Boise, Meridian, Nampa, Caldwell, Eagle, Kuna, Star, and surrounding areas Call 208-941-0243
Certified Professional Inspector NACHI CPI #18092023 ASHI Certified #244451

Escrow Bill Authorization

Valley Home Inspection will allow you to pay for your inspection at escrow for a $75.00 billing fee and if the payment is secured with a credit card. If you would like to pay for your inspection at the close of escrow this form must be completely filled before we will release the inspection report. This form authorizes us to charge your credit card for the full cost of the inspection plus the $75.00 billing fee if we do not receive payment for our services within sixty days following the inspection.

All of the following fields are required.

Inspection Information

Home Inspection Address
Date of Inspection / /
Inspection Price
(not including $75.00
processing fee)

Escrow Information

Title Company
Escrow Officer
Escrow Officer Email
Closing Date / /
Escrow Officer Phone # () -

Credit Card Information

First Name
(as it appears on your
credit card)
Last Name
(as it appears on your
credit card)
Card Type
Credit Card Number ---
Expiration Date /
Security Code
Billing Address
Billing City
Billing State
Billing Zip
Cardholder's Email Address
Cardholder's Home Phone # () -
Cardholder's Cell Phone # () -

By clicking "I Agree" I am authorizing Valley Home Inspection to charge my credit card for the full cost of the Home Inspection listed above plus a $75.00 billing fee if Valley Home Inspection has not received payment for our inspection services within 60 days of the date of the inspection

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