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Disclosure Packet Request
Fill out the following form as completely as possible.
Be sure to include your contact information and the address of the home requiring the disclosure.
Lot #:
Street Address:
Community Name:
Seller Name/Contact Name:
Telephone Number:
Realtor/Agent:
Firm:
Realtor/Agent Phone:
Estimated Settlement Date:
Comments:
Delivery Method:
Pickup at Landmarc's Office
Rush Job
Mail
Please understand that by selecting Rush Job or Mail, you will incur extra fees.