Certificate of Smoke Alarm, Carbon Monoxide Alarm, and Portable Fire Extinguisher Compliance - Formstack

Seller / Buyer Information

Type of Transfer*

Sale Rental

Buyer or Tenant of Property*

First Name

Last Name

Street Address of Property*

Address Line 1

Address Line 2

City

State

ZIP Code

Seller or Landlord of Property*

First Name

Last Name

Seller or Landlord Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Year of Construction*

Date of Property Transfer*

Realtor Information

Realtor Name

First Name

Last Name

Realty Company

Realtor Business Phone

Realtor Cell Phone - Copy

Realtor Email

Contact Number for Scheduling

Scheduler Email Address