Selected (initial)
Waived (initial)
Who Orders
Service
Name(s) of Service Provider(s)
□ Wood Infestation Inspect./Treat. □ Lawn or Landscape Work □ Home Warranty □ Survey □ Legal or Tax Advice (Short Sale, Income Tax Credit, Exchange) □ Deed and Document Prep.
□ □ □ □ □
3. Seller hereby agrees to indemnify and hold Firm harmless from and against any and all liability, claim, loss, damage, suit, or expense that Firm may incur either as a result of Seller’s selection and use of any of the listed service providers or Seller’s election not to have one or more of the listed services performed.
______________________________________ ___________ Date ______________________________________ ___________ Seller
Coldwell Banker Howard Perry and Walston
By: ____________________________________ _________
Seller
Date
Signature of individual agent
Date
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