Please leave this field empty.
I am
Agent Type—Please choose an option—Listing AgentSelling Agent
Company Address
Email *
Cell
schedule settlement for
at
Closing Location
Buyers AgentNone2.02.52.753.03.5
Listing AgentNone2.02.52.753.03.5
Buyers Agent Flat FeesNone250295345350395450
Listing Agent Flat FeesNone250295345350395450
Reimbursements or bills to pay?
Seller Credits?
Home Warranty?—Please choose an option—NoYes
If YES, select company—Please choose an option—NoneHMSAHSOld Republic
EMD: Is to be WIRED on
and will be held by:—Please choose an option—Selling AgentMBO Settlements
NameSingleUnmarriedMarried
Email
Email 2
Phone Numbers
Phone Numbers 2
Name
Loan Officer
Loan Officer Phone
Loan Officer email
Sellers Email
Sellers Email 2
Sellers Phone
Sellers Phone 2
Sellers are both expected to attend settlementYesNo
Is property tenant occupied or subject toTOPA?YesNo
Is property owner occupied?YesNo
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