Termite Inspection Request
Date Ordered:
Time:
Inspection Date:
Inspector:
License #:
Time In:
Time Out:
Bill/Fax to Escrow:
Yes
No
Bill to Realtor:
Yes
No
Realty Company:
Phone:
Ordered By:
Fax:
Seller/Owner:
(full name)
Phone:
Buyer:
(full name)
Phone:
Complete Jobsite Address:
Vacant:
Yes
No
Lock Box #:
Previously Fumigated:
Yes
No
Date:
Company:
Warranty:
(# years)
Ground Treated:
Yes
No
Warranty:
(# years)
Company:
Sentricon:
(date)
Complete All Information
Escrow Company:
Closing Date:
Phone:
Mailing Address:
Fax:
City/State:
Zip:
Escrow Officer:
Escrow #:
Lender:
Phone:
Fax:
Mailing Address:
Loan Officer:
Financing:
VA
FHA
Conventional
Cash
Type:
Condo
House
Townhouse
Commercial
Bedrooms:
Studio
1
2
3
More
Reason:
Selling
Refinancing
Relocating
Schedule Appt. With:
Phone:
* NOTE: INSPECTION VALID FOR 15 DAYS FROM DATE OF INSPECTION