Order Title

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Sale information:

Sale price:

Copies to (Name):

Copies to (E-Mail):

Also copies to (Name):

Also copies to (E-Mail):

PLEASE PROVIDE PRIOR TITLE EVIDENCE FOR RE-ISSUE CREDIT
Unless otherwise advised we will obtain municipal special assessment letters for this order

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Lender Information:

Lender Name:

Loan Officer Name:

Telephone Number:

E-Mail Address:

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Closing information:

Listing Agent/Company:

Telephone Number:

License No. Agent:

License No. Company:

E-Mail:

Selling Agent/Company:

Telephone Number:

License No. Agent:

License No. Company:

E-Mail:

Property Address being sold:

Seller’s telephone number:

Seller's New Address:

Buyer’s Telephone number:

Buyer's Lender:

Lender Contact Name (if known):

Lender's telephone number (if known):

Closing Date:

Closing Location:

Heating Type: NaturalGasElectricOil

Water: MunicipalPrivate WellShared Well (If shared well - please provide details of payment)

Sanitary: Municipal SewerPrivate Septic

Is property Seller's Homestead? YesNo

If Seller is married: Non-titled Spouse's Legal Name:

Will Buyers live in property? YesNo

Tenant Occupied Property: (All rental terms assumed to be month to month starting on first of the month unless otherwise specified)

Unit Description:

Rent $

Escrow $

Unit Description:

Rent $

Escrow $

(Attach additional list of tenants/rents/escrows, if required)

Who pays water/sewer? TenantOwner

If property is a condominium or there is a Homeowners Association: condominiumHomeowners Association

Contact Information for Association:

Name:

E-mail:

Telephone Number:

Commissions:

Listing Agent Commission (percentage or flat fee):

Co-Broker Agent Commission (percentage or flat fee):

Listing Agent Administrative Fee to Seller:

Other Listing Agent charges to Seller:

Comments/Special Instructions:

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Contractor Information:

Contractor Name:

Address:

Telephone Number:

E-Mail Address: