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Are you ready for your next step? Please complete the following form. If you are unsure of anything, please contact us.

Closing Date

YYYY

SELLER INFORMATION

Name

First Name

Last Name

Address

Marital Status

Mail Away

Yes

Mailing Address for Closing Package

Home Phone

(###)

###

####

Mobile

(###)

###

####

Fax

(###)

###

####

SS#

SS# (Spouse)

BUYER INFORMATION

Name

First Name

Last Name

Address

Marital Status

Mail Away

Yes

Mailing Address for Closing Package

Home Phone

(###)

###

####

Mobile

(###)

###

####

Fax

(###)

###

####

PROPERTY

Property Address

STRAP #

COSTS

Purchase Price

Deposit in Escrow

Deposit Held By

FINANCING

New Financing With

Contact Person

Loan Amount

Phone

(###)

###

####

Fax

(###)

###

####

Type of Financing

FHA

CONV

Construction/Perm

Seller's Existing Mortgage (1st)

Loan Number

Phone

(###)

###

####

Seller's Existing Mortgage (2nd)

Loan Number

Phone

(###)

###

####

PROPERTY CONTACTS

HOA/Condo Association Contact

Address

Phone

(###)

###

####

Fax

(###)

###

####

LISTING OFFICE

Company

Associate

Phone

(###)

###

####

Fax

(###)

###

####

SELLING OFFICE

Company

Associate

Phone

(###)

###

####

Fax

(###)

###

####

FEES

Commission %

Split (if any)

Process / Transaction Fee

ADDITIONAL INFORMATION

Please let us know if there is any additional information we should be made aware of...