Realty Repair Request Form

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Realty Repair Request Form

We can help you take care of all those last minute real estate repairs. We pride ourselves in a quick response time to make sure you can keep that settlement date. Need a licensed contractor to certify a roof or areas of structural concern? We can help. For a flat fee, we will inspect and certify the area of interest and provide you a written report to take to settlement.

Agent Name:

Realty Agency:

Email Address:

Contact Numbers:

cell: office: other:

Representing:

Buyer

Seller

Homeowner's Information:

Name: Phone:

Property Address:

Settlement Date:

Closing Information:

Title Co: Processor:

Payment Responsibility:

Buyer

Seller

Agent

Repairs Needed:

Thank you for visiting our web site! We will get back to you as soon as possible.

1932-B Liberty Road • Eldersburg, MD 21784 • Phone: 410-552-4512 • Fax:410-552-4532

We are licensed & insured for work in the state of Maryland under the Home Improvement Contractors License #120270