Lakeshore Savings Due Diligence Order Form

Welcome! Please complete the form below to place an environmental due diligence order. The fees provided are for cost estimating purposes only. The fee for the project will be confirmed by LaBella with Lakeshore Savings Bank once the order has been processed by LaBella.

Lakeshore Savings

Type of Assessment(Required)

Phase I Property Type

Vacant Land ($1150)

Single Family Residential ($1250)

Commercial ($1350-$1450)

Gas/Automotive/Industrial/Marina ($1550+)

Other

How should we send your proposal?(Required)

Fax

Mail

When do you need your report? (Average time is 3-4 weeks)(Required)

Lake Shore Savings Bank Contact

First Last

Lake Shore Savings Bank Email

Lake Shore Savings Bank Phone Number

Lake Shore Savings Bank Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Property Information

Current Owner

Current Occupant

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

County

Property Size (Acres)

Use of Property

Number of Lots/Number of Buildings

Contact Person at Site

First Last

Phone Number

Name