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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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