BINSR Request Form
*Must be turned in prior to 12pm Friday if you need it completed before the weekend.
Agent Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date You want BINSR sent to the cross agent
-
Month
-
Day
Year
Date
Numbers of inspection items you wish to be fixed with written verbiage
ex 21. Master bath - Replace or repair bathroom sink by a licensed professional.
All Inspection and Termite reports
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