Realtor Inspection Order Form

Settlement Date
Ordered By
Ordering Party/Code
Agents Name
Office Name
Contact Number (Office)
(FAX)
(Cell)
(Other)
Address
City
State
Zip
Type of Inspection(s) needed

Wood Destroying Insect (Termite)
Well Test Bacteria only
Well Test (FHA/VA)
Well Chlorination
Well Pad (West Virginia Only)
Septic Trace Dye/Walkover inspection
Radon (Maryland Only)

Seller's Last Name
Seller's First Name
Buyer's Last Name
Buyer's First Name
Property Address
City
State
ZIP
Directions to Property
Scheduling Instructions
Settlement Attorney
Name
Address
Phone
Lender
Name
Address
Phone
Papers to
Date Papers Needed By
Pricing by state:

Maryland: Wood Destroying Insect (Termite) $35.00, Well (Bacteria Only) $55.00, Well (FHA/VA) $175.00, Septic $55.00, Combo (Termite, Well Septic) $125.00, Combo (termite, Well (FHA/VA), Septic) $300.00, Chlorination $130.00, Radon $100.00.

Virginia: Wood Destroying Insect (Termite) $35.00, Well (Bacteria Only) $55.00, Well (FHA/VA) $175.00, Septic $55.00, Combo (Termite, Well Septic) $125.00, Combo (termite, Well (FHA/VA), Septic) $300.00, Chlorination $130.00

West Virginia: Wood Destroying Insect (Termite) $35.00, Well (Bacteria Only) $55.00, Well (FHA/VA) $175.00, Septic $55.00, Combo (Termite, Well Septic) $125.00, Combo (termite, Well (FHA/VA), Septic) $300.00, Chlorination $130.00

Payments must be received within 30 day’s inspection/report date regardless if settlement occurs. In the event a sale falls through the responsible party as assigned in the real-estate contract is responsible for any unpaid inspections, treatments, or balance. The ordering person is responsible for ensuring payment and will cooperate with Advanced Pest Control, LLC in any necessary collection processes on unpaid balances.

Realtor Forms | Our Certifications
Advanced Pest Control
Corporate Headquarters
73 Edmond Dr. Suite 1, Kearneysville, WV 25430
Phone: (877) 724-7241  
Email: info@pestresults.com