Clearance Letter Request Form
We will respond accordingly.
Or Download the Realtor Fax Sheet Here
REALTOR® Information:
Firm Name:
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Office Number:
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Cell Number:
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Email Address:
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Preferred Contact Method:
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Report delivery preference:
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Deliver to whom?
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Address (Street):
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Address (City):
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Zipcode:
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Title Company Information:
Name:
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Address:
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Office Phone:
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Fax:
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Client Information:
Seller:
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Email Address:
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Buyer:
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Email Address:
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Property Information:
Street Address:
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City:
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(Please check all that apply below)
Occupied or Vacant
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Basement
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Age of home:
Stucco?
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Slab?
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Termite Garuantee Exists?
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Existing Termite Evidence?
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CBS Code on Lock Box Information:
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Other Information / Requests:
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