Billing Information

    First Name: 
     Last Name: 
         Title: 
       Company: 
Street Address: 
          City: 
         State: 
      Zip Code: 
     Telephone: 
           FAX: 
        E-mail: 
           URL: 

Please fill in all available information on this property:

Street Address: 
          City: 
         State: 
      Zip Code: 

Is this a pre-forclosure?       :Yes No

Your ID# for this property      :

If this is an REO, date acquired:

Name of previous owners:

Service Order Information

Place a check in the box of all the services in which you are interested:

   Occupancy inspection and 24 hr. posting of lock change if appropriate. 
   Rekey one lock only (Pre-foreclosure) inspection and secure property. 
   Rekey all locks and secure property, board windows/doors when necessary. 
   Evictions, cash for keys agreements, moving and storage facilities. 
   Winterizing plumbing systems and hot water/steam heating systems. 
   Interior and exterior debris removal. 
   Initial yard cleanup and continued maintenance, winter season snow removal. 
   Estimate of repairs 
   Estimate for interior and exterior debris removal. 
   Report of dangerous/ unsafe conditions with estimate to correct. 
   Damage report, insurance estimate. 
   Video taping inspection of property.