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Termite Inspection Report (TIR) Request

  • Payment Information

  • Request Submitter / Responsible Party Information

  • IF ESCROW DOES NOT PAY FOR THIS INSPECTION WITHIN 30 DAYS OF COMPLETION, THE RESPONSIBLE PARTY (THE PARTY WHOSE BILLING INFORMATION IS LISTED ABOVE) WILL BE INVOICED. THE RESPONSIBLE PARTY MUST INITIAL BELOW TO ACKNOWLEDGE UNDERSTANDING AND ACCEPTANCE OF THIS REQUIREMENT. NO INSPECTION WILL BE SCHEDULED WITHOUT THE COMPLETION OF THIS SECTION.

    My initials below indicate: 1) that I understand and accept the billing constraints outlined above; and 2) that I agree to be held responsible for payment in the event that payment is not received from escrow.
  • Inspection Request

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  • Property Information

  • Agent Information

  • Escrow Information

  • This field is for validation purposes and should be left unchanged.