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Realtor Order Form
Agent Info
First Name*
Please enter the agent's first name.
Last Name*
Please enter the agent's last name.
Email Address*
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Phone*
Please enter the agent's phone number.
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Representing
Buyer
Seller
Other agent's Email Address
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Other agent's Phone
Please enter the agent's phone number.
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Inspection Address
Street Address
Please enter the address.
Address 2
City
Zip Code
Type of Inspection
Termite Inspection
Well Water Quality Testing
Septic Visual
Access to Property
Sentrilock or Combo
Sentrilock
Combo
Combination or Showing Code
Slab or Crawl Space
Slab
Crawl Space
Basement
Property Status
Vacant
Occupied
Are we meeting someone?
Who is paying the bill?
Title Company Email
Settlement Date
Has the home been treated in the past?
Yes
No
By Who?
Has the home been inspected in the past 5 years?
Yes
No
Inspected By
Inspected Date
Result
Buyer
First Name
Please enter the buyer's name.
Email Address
Please enter the buyer's email address.
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Phone
Please enter the buyer's phone number.
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Loan Type
- None -
FHA
VA
FHDA
Conventional
Seller
First Name
Please enter the seller's name.
Email Address
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Phone
Please enter the seller's phone number.
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