Real Estate Process Request Form used to collect new owner, previous owner, and realtor information when existing termite customer is selling their home. Status(Required) Selling Refinance Buying Sold Your District(Required)AlbertvilleAtlanta NEAtlanta SEAuburnBirmingham CommercialBirmingham NorthBirmingham SouthChattanoogaCullmanDecaturDothanEastern ShoreFlorenceGadsdenGainesvilleHuntsville NorthHuntsville SouthJacksonKnoxville CommercialKnoxville EastKnoxville WestMadison CommercialMariettaMemphisMemphis CommercialMobileMontgomeryNashville CommercialNashville NENashville SWOlive BranchPensacolaRomeSharpsburgShelbyvilleTuscaloosaValdostaWarner RobinsSeller InformationSeller Customer Info Current Customer Non-Customer Service Pro Account #Name First Last PhoneMobileEmail Previous Address Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code New Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Buyer InformationBuyer Customer Info Current Customer Non-Customer Service Pro Account #Name First Last PhoneMobileEmail Previous Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code New Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Wood Infestation Report Needed(Required) Yes No If Yes, make sure the enter the following information in Service Pro; 1 - Create a WIR Event 2 - Create a Cancellation Event for the previous owner's programClosing Date MM slash DD slash YYYY Realtor and Closing Attorney InformationDo they have the Closing Attorney's Information? Yes No Name First Last Email Closing Attorney's Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Do they have the Seller's Realtor Information? Yes No Do they have the Seller's Realtor Information? First Choice Second Choice Third Choice Name First Last PhoneEmail Do they have the Buyer's Realtor Information? Yes No Name First Last PhoneEmail Δ Δ
