Manufactured Home Certificate Order Form

Please fill out this webform and submit to schedule an inspection OR download the following PDF attachment and FAX to the number listed on the form.

Originator Information

Optional - If filled out, a confirmation email will be sent with the information included in this request.

Certificate Information

Indicate where to send the report.  Provide a Fax number, address or email.

Order Information
Access Contact Information
Title Company Information
Payment Information

All orders MUST have secured payment before the order is processed and the inspection performed.   Where payment is through escrow, payment can be secured by credit card or by a post-dated check (45-days).

Base Rates
Regional Adjustment to Base Rates
Regional Adjustment Map

Please see Regional Map Here.

For payment by check:

Fax a copy of the check to 1-877-862-9153 to process this order.   Then mail the original check to 221 N. Marina St. #102 Prescott, AZ 86301.


For payment by Credit Card:

A representative from Core Structure Group will call to process your order and collect payment information.


Typical turnaround is 5-7 business days from confirmation of payment.