Schedule Service

Order Termite Letter

To request a termite clearance letter, please fill in the following information that we need to proces your letter.

Contact Information
First name:
Last name:
E-mail address:
Address1:
Address2:
City:
State:	GA
Zip Code:
Phone number:	-
Real Estate Firm:
Agent's Name:
Agent's Address1:
Agent's Address2:
Agent's City:
Agent's State:	GA
Agent's Zip Code:
Agent's Phone:	-
Agent's Fax:	-

Seller Information
Seller:
Seller's Phone Number:	-

Property Address:
Property's Address 1:
Property's Address 2:
City:
State:	GA
Zip:
Age of Structure:
Lock Box?:	Yes No
Occupied?:	Yes No
Type of Loan:	FHA VA Conventional Cash Other
Termite Warranty Status:	Ampest Other Pest Company None
Structure Information:	Crawl Space Basement-Finished Basement-Unfinished Slab
Stucco?:	Yes No If Yes: Synthetic Hardcoat
Status of Letter:	Pre-listing Closing

Purchaser Information
Purchaser:
Purchaser's Phone Number:	-
Closing Attorney:
Attorney's Phone Number:	-
Address:
Address1:
Address2:
City:
State:	GA
Zip:
Closing Date:
How would you like to receive your letter? Mail Pick-up Leave if leave, where?
Specific Inspector Request:
Additional Comments: