1-800-PEST-CONTROL

ROSS ENVIRONMENTAL SOLUTIONS
Quality Pro Pest Mangement

Please use this form to order WDO (Wood-Destroying Organisms) Reports for Real Estate Transactions.

(* indicates required items):

Realtor Information

*Agent Name:

*Agent E-mail:

*Real Estate Firm:

*Agent Address:

*City:

*State (select one):

*Zip Code:

*Agent Phone

Agent Mobile:

*Agent Fax:

Seller Information

Please allow one business day for a Ross Environmental Solutions representative in your area to contact you.

*Seller's Name:
*Property Address:
*City:
*State:
*Zip:
*Seller's Phone 1:
Seller's Phone 2:
Age of Structure:
*Occupied?	Yes No
*Lock Box?	Yes No
*Termite Warranty Status:	Ross Environmental Solutions Other None
*Type of Letter?	Pre-Listing Closing
If Closing is checked above, provide the following: Purchaser Information:
Purchaser's Name:
Purchaser's Phone:
Loan Information
*Type of Loan:	Conventional FHA VA Cash/Other
*Closing Date:	mm/dd/yyyy
Other Information
*How would you like to receive your inspection report? Pick up from our office Mail Leave Other
If mail, address:
If other, please explain:
Comments, questions?

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Phone: 1-800-PEST-CONTROL · Fax: (856) 875-1446