Real Estate Clearance Letter

*Required Fields

*Agent Name:

Email Address:

*Real Estate Firm:

*Mailing Address:

*City:

*State:

*Zip or Postal Code:

Phone:

Seller Information

*Seller Name:

Seller's Phone:

*Seller Mailing Address:

*City:

*State:

*Zip or Postal Code:

Age of Structure:

Purchaser Information

Purchaser Name:

Purchaser's Phone:

Closing Date:

How would you like to receive your letter?

Mail Pick up Deliver to Office Leave If LEAVE, where?

Specific Inspector Request: Additional Comments: