Closing Inspection Request Form REAL ESTATE AGENCY INFORMATION Real Estate Firm Name: * Agent's Name: * Agent's Phone: * Agent Fax: Letter Type: Please Select...ListingClosingSpecial Loan Requirements "VA"Refinance PROPERTY INFORMATION Lock Box or Combo?: Please Select...Lock BoxCombo Lock Year Built: Foundation Type: * Please Select...Crawl SpaceSlabFull BasementPilings Is The Property Occupied?: Please Select...YesNo If You Have Any Special Instructions For Us, Please Provide Them Here: SELLER'S & BUYER'S INFORMATION Seller's Full Name: * Buyer's Full Name: * Is It Ok To Contact Buyer For Payment?: Please Select...YesNo Property Address: * City: * Seller's Agent Name: * Seller's Agent Phone: * INVOICING INFORMATION Responsible Party's full name: * Responsible Party's Phone number: * Responsible Party's Email: * Responsible Party's Current mailing address: * Closing Attorney's Name: * Closing Attorney Fax or Email: Type of Loan: Please Select...ConventionalFHAVACashother Is The Property Under Termite Coverage?: Please Select...YesNo If Yes With Which Company Is It Covered?: Please Leave Any Comments On Previous Services: PERSON MAKING INSPECTION REQUEST Your Full Name: * Your Email Address: * Disclaimer: *Invoicing Information must be filled out in entirety or requesting party will be responsible for payment. Please check this box that the above statement has been read and understood: * Accepted *Inspection will only be scheduled once payment is received.: * Accepted Do not fill in this field. Submit