Real Estate Listing Agent

ATTN:

Phone Number

Email

Mailing Address

Real Estate Selling Agent  Same as listing agent.

ATTN:

Phone Number

Email

Mailing Address

Purchase Price

Date Commitment Needed
Is Rio Blanco County Abstract Company closing?  YES NO
Legal Description

Physical Address

This Property is
 Single Family Vacant Land Condo/House Income/Rental

Seller Information

Name

SSN *Please note that Rio Blanco County Abstract Company must have Social Security Numbers to order Payoff Statements. Please contact our office to provide this information.

Mailing Address

 Will Attend Closing?  Power of Attorney?
If POA is being used send a copy with order!

Purchaser Information

Name

Mailing Address

 Will Attend Closing?  Power of Attorney?
If POA is being used send a copy with order!
 Joint Tenants Tenants in common Other

Existing Loan Information

1st Mortgage

Lender

Loan Number

Phone

Fax
Address

2nd Mortgage

Lender

Loan Number

Phone

Fax
Address

New Loan Information

Amount

Lender

Phone

Fax

Email

Address (Please include the Mortgagee Clause)

Please check the following if appropriate:
Divorce in process?  Sellers Buyers
Estate proceedings?  Sellers Buyers
Bankruptcy/Liens?  Sellers Buyers
Other

Closing Information
Earnest Money Deposit
$  Cash/Check Note
Will Rio Blanco County Abstract Company be depositing Earnest Money into their escrow account?
Commission % Split?  YES NO
Split 50% to

Split 50% to

Scrivener Fee To Be Paid By

Additional Instructions

Additional Attachments (Contract, supporting documents, etc...)
______________________________________________________________


Loan Amount

Date Commitment Needed
Is Rio Blanco County Abstract Company closing?  YES NO
Legal Description

Physical Address

This Property is
 Single Family Vacant Land Condo/Townhouse Income/Rental

Borrower Information

Name

SSN *Please note that Rio Blanco County Abstract Company must have Social Security Numbers to order Payoff Statements. Please contact our office to provide this information.

Mailing Address

 Will Attend Closing?  Power of Attorney?
If POA is being used send a copy with order!
 Joint Tenants Tenants in common Other

Existing Loan Information

1st Mortgage

Lender

Loan Number

Phone

Fax
Address

2nd Mortgage

Lender

Loan Number

Phone

Fax
Address

New Loan Information

Amount

Lender

Phone

Fax
Email address for title commitment.
Address

Please check the following if appropriate:
Divorce in process?  Sellers Buyers
Estate proceedings?  Sellers Buyers
Bankruptcy/Liens?  Sellers Buyers
Other

Special Instructions
Additional Attachments (Contract, supporting documents, etc...)
______________________________________________________________


 

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