Real Estate Termite Inspection Request

Requested By

  • Requested by:
  • Purpose of report:
  • Full Name*
  • Phone#*:
  • Fax:
  • Email*:

Property

  • Property Address*:
  • City*:
  • Zip Code*
  • Lock Box Code:
  • Key Location:

Escrow Information

  • Escrow Officer:
  • Escrow#:

Special Instructions

Realtor

  • Realtor:
  • Contact #:

Seller

  • Seller Name

Buyer

  • Buyer Name

Title

  • Title Co:
  • Address:
  • City:
  • Zip code:
  • Title Phone:
  • Title Fax:

PAYMENT METHOD

Please select one of the following.

  • Check (At time of inspection)
  • Credit Card (Advance)

Check Payment: You may pay by check at the time
of inspection. Please make your check payable
to Kyko Pest Prevention

Credit Card Payment: If paying via credit, a
representative will contact you within 24 hours