“Experience & Education for your protection”
Name *
Address:
City/State/Zip:
Home Phone:
Cell Phone:
Email*
Realtor Name:
Buyer's Agent:
Buyer's Name:
Phone:
Email:
Seller's Agent:
Company Name:
Contact:
Company Address:
Loan Information: FHAVAUSDAReverseConventional, conforming (Fannie Mae/Freddie Mac)Conventional, non-conforming
Home Type: ManufacturedSite Built HomeModular Home
Manufactured Home Size: Single WideDouble WideTriple Wide
Property Address to be inspected:
Manufactured Home Fee Options (choose one): $425 - Certification paid at inspection$450 - Certification lender guaranteed billed to escrow$495 - Certification not guaranteed & billed to escrow
Site Built/Modular Home Fee Options (choose one); $475.00 - Certification paid at inspection$495.00 - Certification lender guaranteed billed to escrow$550.00 Certification not guaranteed & billed to escrow
Will the invoice be paid out of escrow? YesNo **If yes, lender guarantees payment. Please complete escrow information. Payment will be secured with credit card:
Escrow Company:
Escrow Contact:
Escrow Co. Phone:
Escrow Co. Email:
Escrow #:
Estimated Close Date:
MISC. INFORMATION/SPECIAL INSTRUCTIONS: