Buyer *

First Name

Last Name

Phone *

Buyer's phone

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Estimated Closing Date

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Authorization *

All Home warranties will be ordered from Fidelity National Home Warranty. If you require a different company, then it will need to be ordered prior to closing. An invoice must be provided to Van Zandt Abstract LLC a week prior to closing if you want this paid during closing. The undersigned agrees to allow Van Zandt Abstract LLC to order the home warranty for the above referenced property. If a file cancels and cost are incurred Van Zandt Abstract LLC will use funds in escrow to pay for survey, per Section 18.B of the TREC Contract if necessary.

By Checking, Requester Agrees

Request date

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DD

YYYY