Wufoo
Real Estate Termite Letter Request
*Clearance Letter will be issued after payment is received.
Contact Name
*
Phone Number
*
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-
###
-
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Email
*
Real Estate Company
Agent (if different than above)
Property Address
*
City
*
State
*
Zip Code
Lockbox
Yes
No
Occupied
Yes
No
Structure Type
Slab
Basement-finished
Basement-unfinished
Crawl Space
Combination
Access Code
Seller
*
Purchaser
*
Purchaser Phone Number
*
Closing Date
MM
/
DD
/
YYYY
Party Responsible for Payment
How would you like to receive this letter?
Additional Comments
Do Not Fill This Out
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