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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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