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PROPERTY DISCLOSURE REPORT
(Issued by Buyers Real Estate Service)
Assessors Number (APN#)
County
Seller Name
Buyer Name
Property Address
City
State
Zip
Phone
$89.95 Arizona Hazards Disclosure Report
Arizona Hazards Disclosure Report FREE if ordered with a home warranty.
Return Via:
Fax
Email
Deliver To:
Seller's Agent
Escrow
To Be Paid By:
Seller
Buyer
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($50 Trade Call) $295
Standard Plan($35 Trade Call) - $325
QTY
OPTIONS
$150
Pool/Spa Equipment
$50
Additional Pool/Spa
$25
Kitchen Refrigerator
$50
Washer/Dryer
$100
Roof Coverage
$120
Well Pump
$40
PREFERRED UPGRADE Option
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
Comments: