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Realtor Order Form

Agent Info

First & Last Name*:
Company Name:
Email Address*:
Phone*:
Representing: BuyerSeller
Other agent's Name:
Other agent's email:
Other agent's Number:

Inspection Address

Street Address:
City:
State:
Zip Code:
Type of Inspection: Termite InspectionWellSeptic VisualHome InspectionSeptic Pump Inspection

Access to Property

Sentrilock or Combo: SentrilockComboSupra Box
Combination or Showing Code:
Slab or Crawl Space: SlabCrawl Space
Property Status: VacantOccupied
Are we meeting someone?:
Who is paying the bill?:
Title Company Email:
Settlement Date:
Has the home been treated in the past?: YesNo
By Who?:
Has the home been inspected in the past 5 years?: YesNo
Inspected By:
Date:
Result:

BUYER

Buyer's Name:
Buyer's Email:
Buyer's Phone Number:
Loan Type:

SELLER

Seller's Name:
Seller's Email:
Seller's Phone Number:
Loan Type:
 

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