CERT / WORK ORDER

You may download the forms or fill out the form bellow:
Riverside County, San Bernardino County
Los Angeles County, San Diego County, Orange County:

* Indicates Required Field

Property is in Riverside County, San Bernardino County
Property is in Los Angeles, San Diego, and Orange counties
OWNER INFORMATION
Owner's First Name*
 Owner's Last Name*
 Phone #1 *
 Phone #2
  
Address*

City*

 State
 Zip*
  
Email

Tenant's Name *
 Phone #1 *
 Phone # 2
Email
PROPERTY INFORMATION
Street Address*
   address same as above
City*
 State*
 Zip*
    
Lock Box Combo*

 Nearest Cross Street*
Vacant *
Occupied		 If Vacant How long? Is the water on?*
Yes No 		If not when will it be on?
Year home was built* Number Bedrooms?*
Has the septic system every been repaired, replaced or pumped? *
Yes No 		If yes please list the repairs that were made
BILLING INFORMATION
Escrow Company *
Street Address*
    
City*
 State*
 Zip*
Phone*
  Fax*
Escrow Officer*
   Escrow #*
Estimated Close of Escrow*
 		  Email
REQUESTED BY:
Name*
Company*
Street Address*
    
City*
 State*
 Zip*
Phone*
  Fax*
 Email

SERVICES

  Standard Sewage Disposal System CERTIFICATION Includes:
   
1.

 Up to 3-hours to locate, excavate, and inspect the sewage disposal system.... (Each hour over 3-hours will be billed at $80.00 per hour) $240.00
 
   
2.
 Sewage Disposal System Cleanout up to 2000 gallons................................... $125.00
   
3.
 1 year Guarantee................................................................................... $60.00
     

Total Charges....

$425.00
  Standard Sewage Disposal System INSPECTION. Includes:
   
1.

 Up to 3-hours to locate, excavate, and inspect the sewage disposal system.... (Each hour over 3- hours will be billed at $80.00 per hour) $240.00
 
     

Total Charges....

$240.00

FEES

  Escrow Billing Fee........................................................................................... $50.00
    This fee will be billed automatically if JL Farris is to be paid out of escrow.

 

    The fee will be waived if the $100.00 down payment is made .

 

 

Down Payment...............................................................................................

$100.00
    The down payment will waive the escrow billing fee and the balance of the charges will be paid through escrow.

 

WORK AUTHORIZATION

The costs for the above described work and/or repairs will not exceed the prices indicated without prior approval from:
Phone		  
*  
(Financially Responsible Person)
(Telephone)
 
In the event that escrow is cancelled and/or does not close on  
    (Estimated date of close)  
I * *
(name)
(address)
(Telephone)
 
will pay JL Farris directly on: *    
 
(date)
     
     
Send a copy to the following recipients: email 1
 email 2
email 3
 
I have read and agree to the Terms and Conditions. 		 
 
   
LIC # 770336 | 800 978 7900 P