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GeoDisclosure

Your best disclosure source for the
central coast!

Call or FAX us at
(831) 469-4438

GeoDisclosure Order Form

 

Realty Company:

Realty Agent:

Property Information:

 

Property Address:

 


, ,

 

APN:

 

Sellers name:

Type of report (check one)

GeoReport - Natural Hazard Disclosure report
(includes Mello-Roos and special tax information) - $65

GeoEnvironmental Report - NHD plus Environmental Contamination Report - $95

EDR - Environmental Disclosure Report - $50

Where would you like the report sent?

How many reports should be sent to the following address? (up to 4)

 

Company:

 

Attn:

 

Address:

 


, ,

And how many to this address?

 

Company:

 

Attn:

 

Address:

 


, ,

Billing Information

 

Escrow #:

 

Title Company:

 

City:

 

Escrow Officer:

 

Anticipated Closing Date:

 

Additional Notes

Thank you for your order!