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Wood Destroying Organism Inspection Report

If you are a licensed Real Estate Agent, please complete the form below to order your Real Estate transaction report.

If you need immediate assistance, call 904-201-4112 to speak with one of our representatives.

(* denotes required fields)

Agent/Contact Information

Agent/Contact Name *

Real Estate Firm *

Address

City *

State *

Zip Code *

E-Mail Address *

Telephone *

Mobile Telephone

FAX

Please choose one *

Listing
Selling

Seller Information

Seller's Name *

Property Address *

City *

State *

Zip Code *

Telephone *

E-Mail Address *

Lock Box? *

Yes
No

Call Before Showing/Vendor Code if required

Occupied? *

Yes
No

Property currently under a Termite Guarantee? *

Yes
No

If yes...

Current Nader's Customer
Other

Structure Information

Crawl Space
Basement
Slab

Stucco?

Yes
No

If yes...

Synthetic
Hardcoat

Report For *

Listing
Closing (complete buyer info below)
Due Diligence

Date Required *

Buyer's Information

Buyer's Name

Telephone

E-Mail Address

Closing Attorney

Attorney Address

Attorney Telephone

Attorney FAX

Attorney Best Contact #

Attorney E-Mail Address

Type of Loan

Conventional
FHA
VA
Other

Other Information

Payment Method *

Credit Card
Check

How would you like to receive your inspection report? *

Mail
Leave at Property
FAX
E-mail

Specific Inspector Request

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