Order Form To place your order, simply fill out the form below and proceed to checkout. You will not be charged for filling out the form. Questions? Contact Us and we can help!
	Property Address:
	Anticipated Closing Date:
	Sales Price:
	Transaction Type:	Cash Conv FHA VA Land Contract Seller Financed
	Buyer’s Name and Address:
	Buyer Choose:	Single Married Company
	If Company, who is signing and their title:
	Buyer Enter:	Phone: SSN: SSN:
	Seller’s Name & Address:
	Seller Choose:	Single Married Company
	If Company, who is signing and their title:
	Seller Enter:	Phone: SSN: SSN:
	Split Closing:	N/ABuyers Side OnlySellers Side Only
	Other Title Company:	Other Title Company: Contact: Address: Phone: Email: Fax:
	Lender Info:	Lender Name: Contact: Address: Phone: Email: Loan Amount: $
	CPL: Name & Address:
	Loan Type:	Conv FHA VA Land Contract Other
	If Other, explain:
	Agent Info:	Listing Office: Contact: Phone: Email:
	Agent Info:	Selling Office: Contact: Phone: Email:
	EMD/Commission:	Earnest Money Deposit of: $ is being held by: Verified by: on: Commission Based on: $ Listing Agent Commission ______% = $______ + ______(compliance fee) = _________ Bonus: $______ Selling Agent Commission ______% = $______ + ______(compliance fee) = _______ Bonus: $______
	Escrows:	Water Escrow: $ Held By: Rent Escrow: $ Held By: Other Escrow:
	Terms Home Warranty:	YesNo
	Terms: Home Warranty:	$______ Company:
	Tax Prorations:	360 day basis 365 day basis
	Association:	Yes No
	If yes, Association Name & Phone:
	Other Association Info:
	Termite Inspection:	Yes No
	Termite Inspection:	$_______ Company:
	Special Instructions:
	Qty: