Natural Hazard Disclosure Package Request

GREAT LOW PRICE!  $60.00

INCLUDED IN REPORT:

Industrial Use Zone & Military Ordinance
Toxic Mold Supplement
Megan's Law Supplement
Real Property Taxes & Special Tax Assessment 1915 Ord.
Environmental Toxic Location Report


*Ordered by:

Property Information:

* Required Fields (if not available or applicable, insert N/A)

*Property Owner's Name:

*Property Address:

*City:

*Zip:

*County:

*Assessor's Parcel Number (if available):

Title - Escrow Information:
(We will automatically submit the invoice to title for payment)

*Escrow Company:

*Escrow Number:

*Escrow Officer:

*Address:

*City:

*State:

*Zip Code:

*Telephone Number (xxx-xxx-xxxx):

*Fax Number (xxx-xxx-xxxx):

Method of Delivery: (please select "Yes" or "No")
NO ADDITIONAL COSTS FOR FAX OR MAIL COPIES!!

Mail Seller/Listing Agent



Fax Seller/Listing Agent



E-Mail Seller/Listing Agent

(All files sent in Adobe Acrobat).

Mail Buyer Agent



 

Fax Buyer Agent



 

E-Mail Buyer Agent



 

Mail Owner

 


Seller/Listing Agent Information:

*Name:

*Company:

*Address:

*City & State:

*Zip:

*Telephone (xxx-xxx-xxxx):

*Fax (xxx-xxx-xxxx):

*E-Mail Address:

Buyer Agent Information:

Name:

Company:

Address:

City & State:

Zip:

Telephone (xxx-xxx-xxxx):

Fax (xxx-xxx-xxxx):

E-Mail Address:


For any additional comments or instructions:


I herby authorize payment of RealtyDisclosure.com fees through escrow. I understand that if this escrow fails to close, the seller and listing agent are not responsible for RealtyDisclosure.com fees. However, in the event that the property sold under subsequent escrow, or, if we ARE NOT notified of new escrow information, the SELLER & LISTING AGENT are responsible for payment of RealtyDisclosure.com fees. In the event payment is not rendered to RealtyDisclosure.com upon close of escrow, the NHD Report is null & void. RealtyDisclosure.com is then released from all liability.

I understand and acknowledge the above statement.

RealtyDisclosure.com
PO Box 1591
Santa Rosa, California 95402


phone: 530-925-1466
fax: 866-851-1861


email: questions@realtydisclosure.com
©2007 RealtyDisclosure.com.  All rights reserved

-->