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Please take a few minutes to provide ALL the information you currently have about the settlement....

This will allow us to serve you quickly and efficiently. Scroll Down as you enter the Information and

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Real Estate Agents Information

Listing Agent Name

Listing Agency

Listing Agent Phone

Listing Agent Fax

Listing Agency Address

Listing Agency Admin Charge

Listing Agent E-Mail Address

Selling Agent Name

Selling Agency

Selling Agent Phone

Selling Agent Fax

Selling Agency Address

Selling Agency Admin Charge

Selling Agent E-Mail Address

Requested Settlement Date :

Special Instructions

Property Street Address



City



State/Province



Zip/Postal Code



Sellers Names

Sellers Phone Numbers

Buyers Names

Buyers Phone Numbers

Where is the property located?

Is there a HOA?                (Check the Box If YES)

HOA Name -

HOA Address-

HOA Phone Number -

HOA WebSite -

Loan Officer:
Mortgage Company Name:
Loan Officer Name:
Loan Officer Phone
Loan Officer Email

Listing Agent *Name*
Listing Agency
Listing Agent Phone
Listing Agent Fax
Listing Agency Address
Listing Agency Admin Charge
Listing Agent E-Mail Address

Selling Agent *Name*
Selling Agency
Selling Agent Phone
Selling Agent Fax
Selling Agency Address
Selling Agency Admin Charge
Selling Agent E-Mail Address

*Property Street Address*
*City*
*State/Province*
*Zip/Postal Code*