Ordered By: *

Legal Description: *

Physical Address: *

Owner's Title Policy Needed? Yes No

Amount:

Mortgagee Title Policy Needed? Yes No

Amount:

Document preparation needed for the above? Yes No

Complete closing service needed? Yes No

Seller's Information

Marital Status: *

Names for Deed: *

Address: *

Home Phone #: *

Office Phone #:

Fax #:

Email:

Please provide a copy of your current Owner's Title Insurance Policy if available via email to info@barbarasandersatty.com.

Buyer's Information

Marital Status: *

Names for Deed: *

Address: *

Home Phone #: *

Office Phone #:

Fax #:

Email:

New Mortgage Information

Mortgagee Name: *

Phone: *

Loan Officer: *

Loan Amount: *

Existing Mortgage Information

To be assumed: Yes No

To be satisfied at closing: Yes No

Mortgagee:

Address:

Phone #:

1031 Exchange? Yes No

If yes, Facilitator:

Facilitator Phone:

Selling Agent:

Selling Company:

Selling Commission:

Listing Agent:

Listing Company:

Listing Commission:

This closing must take place on or before:

Seller to close: By Mail In Person

Buyer to close: By Mail In Person

Closing Expenses

Owner's Title Insurance: Seller Buyer

Mortgage Title Insurance & endorsements: Seller Buyer

Recording - Mortgage Satisfaction: Seller Buyer

Recording - New Mortgage: Seller Buyer

Recording - Deed: Seller Buyer

Recording - Other: Seller Buyer

Recording - List Other:

Doc Stamps on Deed: Seller Buyer

Doc Stamps on Mortgage: Seller Buyer

Intangible Tax on Promissory Note: Seller Buyer

Loan Transfer Fee: Seller Buyer

Mortgage Discount Points: Seller Buyer

Other Loan Expenses: Seller Buyer

List Other Loan Expenses:

Survey: Seller Buyer

Survey Company:

Termite Inspection: Seller Buyer

Termite Inspection Company:

Termite Treatment: Seller Buyer

Termite Treatment Company:

Building Inspection: Seller Buyer

Building Inspection Company:

Septic Permit/Inspection: Seller Buyer

Septic Permit/Inspection Company:

Appraisal: Seller Buyer

Appraisal Company:

Prorated items to run: through day of closing to day prior to closing

Real Estate taxes for the year: Prorate Do Not Prorate

HOA Dues: Prorate Do Not Prorate

HOA Dues $:

HOA Contact Name:

HOA Contact Phone:

RE-ISSUE: Does Seller Have a Prior Title Policy for Re-issue Credit? Yes No