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Buyer's Realtor Name

Buyer's Realtor Phone

Buyer's Realtor E-mail

Seller's Realtor Name

Seller's Realtor Phone

Seller's Realtor E-mail

Owner's Name

Owner's Phone

Owner's E-mail

Who will be the contact person

Buyer's Realtor Seller's Realtor Owner

Who will be paying construction bill?

Buyer's Realtor Owner's Realtor Owner Escrow

Physical address of home needing repairs

What are the repairs that need to be done (please explain in detail)

Escrow Company (If paying construction costs)

Escrow Agent Name (If paying construction costs)

Escrow Number (If paying construction costs)

Escrow Agent Email (If paying construction costs)

Escrow Closing Date (If paying construction costs)

Please attach a copy of the pest inspection report (if you do not have it yet please email it to us asap)

Office Hours: 8:30a – 5:00p