Natural Hazard Disclosure Package Request
GREAT LOW PRICE! $60.00
INCLUDED IN REPORT:
Industrial Use Zone & Military Ordinance
Toxic Mold Supplement
Megan's Law Supplement
Real Property Taxes & Special Tax Assessment 1915 Ord.
Environmental Toxic Location Report
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Ordered by:
Property Information:
* Required Fields (if not available or applicable, insert
N/A
)
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Property Owner's Name:
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Property Address:
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City:
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Zip:
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County:
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Assessor's Parcel Number (if available):
Title - Escrow Information:
(We will automatically submit the invoice to title for payment)
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Escrow Company:
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Escrow Number:
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Escrow Officer:
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Address:
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City:
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State:
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Zip Code:
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Telephone Number (xxx-xxx-xxxx):
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Fax Number (xxx-xxx-xxxx):
Method of Delivery:
(please select "Yes" or "No")
NO ADDITIONAL COSTS FOR FAX OR MAIL COPIES!!
Mail
Seller/Listing Agent
-
Yes
No
Fax
Seller/Listing Agent
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Yes
No
E-Mail
Seller/Listing Agent
-
Yes
No
(All files sent in
Adobe Acrobat
).
Mail
Buyer Agent
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Yes
No
Fax
Buyer Agent
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Yes
No
E-Mail
Buyer Agent
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Yes
No
Mail
Owner
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Yes
No
Seller/Listing Agent Information:
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Name:
*
Company:
*
Address:
*
City & State:
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Zip:
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Telephone (xxx-xxx-xxxx):
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Fax (xxx-xxx-xxxx):
*
E-Mail Address:
Buyer Agent Information:
Name:
Company:
Address:
City & State:
Zip:
Telephone (xxx-xxx-xxxx):
Fax (xxx-xxx-xxxx):
E-Mail Address:
For any additional comments or instructions:
I herby authorize payment of RealtyDisclosure.com fees through escrow. I understand that if this escrow fails to close, the seller and listing agent are not responsible for RealtyDisclosure.com fees. However, in the event that the property sold under subsequent escrow, or, if we ARE NOT notified of new escrow information, the SELLER & LISTING AGENT are responsible for payment of RealtyDisclosure.com fees. In the event payment is not rendered to RealtyDisclosure.com upon close of escrow, the NHD Report is null & void. RealtyDisclosure.com is then released from all liability.
I understand and acknowledge the above statement.
RealtyDisclosure.com
PO Box 1591
Santa Rosa, California 95402
phone: 530-925-1466
fax: 866-851-1861
email:
questions@realtydisclosure.com
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