STATEWIDE Pest Services

Termite Letter Request
W.D.I. Report

MLS Lock-Box Accessible (K.A.A.R.)

Today's Date:

Need By:

Closing Date:

Letter Type:

Realtor's Name:

Phone #:

E-mail:

Real Estate
Company:

Phone #:

Address of Property To Inspect:
(street, city, state, zip)

Occupied or Vacant:

Seller's Name:

Phone #:

Buyer's Name:

Phone #:

Foundation Type:

Authorization To Use MLS Lock-Box Key:

Deliver Letter To:

Comments or
Instructions:

Thank you for your business!

Statewide Pest & Property Services, Inc * 214 Lakeside Plz * Loudon, TN * USA * 37774
* Phone: (865) 408-1166 Fax: (865) 408-1995----TN Charter # 3991

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