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PROPERTY DISCLOSURE REPORT
(Issued by Buyers Real Estate Service)
Assessors Parcel Number
County
Seller Name
$49.95 Property Disclosure Report
Aerial Photo $10.00
Tax Report $20.00
Environmental Report $25.00
($5 Discount will be applied if ordered with a home warranty)
Return Via:
Priority Mail
Fax
Email
Deliver To:
Seller's Agent
Escrow
Buyer Name
Property Address
City
State
Zip
Submitted by Agent
Submitted by Coordinator
Real Estate Firm
Agents Name
Phone Number
Address
Coop Agent Company
Cooperating Agent
Phone Number
Address
If you provide us with your E-Mail Address and a 4 to 6 character Password you can use
Click-To-Cover
on-line ordering and receive instant confirmation of your orders.
Email Address
Password
Submitted by Closing Agent
Closing Company
Closing Officer
Phone
File Number
Expected Close Date
Address
City
State
Zip
Add Warranty
Coverage:
Basic Plan $250
Maximum Value - $330
Condominium $220
QTY
OPTIONS
$60
Air Conditioning / Evaporative Cooler
$125
Pool/Spa Equipment
$50
Additional Pool/Spa
$50
Kitchen Refrigerator
$50
Washer/Dryer
$100
Roof Coverage
$120
Well Pump
$50
MAXIMUM UPGRADE Option
$20
Red Tag Option
sm
$200
Structural Endorsement
(REQUIRES CHECKLIST COMPLETED AND SIGNED BY AN APPROVED INSPECTOR)
10/30 OPTION
Add 10% to the Total Coverage and reduce $50 Trade Call Fee to $30.
TOTAL
For price quote for DUPLICATE SYSTEMS(on homes over 5000 sq.ft.) Please call (800)443-5599.
If you provide us with your E-Mail Address and a 4 to 6 character Password you can use
Click-To-Cover
on-line ordering and receive instant confirmation of your orders.
Email Address
Password
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