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Termite Clearance Letters


Real Estate Agent/Firm Information

Agent Name: 
Agent Email: 
Real Estate Firm:
Agent Address:
City:
State:      Zip:
Agent Phone:
Agent Cellular:
Agent Fax:
Seller Information

Seller's Name: 
Seller Email:
Property Address:
City:
State:      Zip:
Seller Phone:
Age of Structure:
Lock Box? Yes
No
Occupied? Yes
No
 
Type of Loan: Conventional
FHA
VA
Cash
Other
 
Termite Warranty
  Status:
Mantis
Other Pest Company
None
 
Structure
  Information:
Crawl Space
Basement-Finished
Basement-Unfinished
Slab
 
Stucco?
Yes
No
  If yes, what type?:
Synthetic
Hardcoat
 
Status of Letter:
Pre-listing
Closing

Purchaser Information

Purchaser's Name:
Purchaser's Phone:
Attorney Name:
Attorney Address:
City:
State:      Zip:
Attorney Phone:
Closing Date:


Other Information

Payment Method:
Paid at Closing
Credit Card
Check
 
How would you like to receive your inspection report?
Mail
Pick-up
Leave
  If leave, where?
 
Specific Mantis Inspector Requested:


Any Additional Information:
 


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