Sales Order Form

*E-mail

Name

Address

City , State   Zip

*Phone    Fax


Charge Service to

Property Type

Residential 1-4 Family
Commercial / Non-residential

Property Address

City ,  State    Zip

Sales Price    Loan amount   Earnest Money

Closing Date

Total Commission %   Listing Broker %   Selling Broker %


(Please fill in all known information)

Listing Co.   NMLS ID    ST License ID    

Listing Agent:   NMLS ID    ST License ID



Seller 1    LAST 4 OF SSN    DOB

Seller 2    LAST 4 OF SSN    DOB

Seller 3    LAST 4 OF SSN    DOB



Home Phone     Work Phone    His   Hers

NEW address

Seller's Present Lender #1    Loan 1#

Seller's Present Lender #2    Loan 2#



Marital Status of Seller    Is Property Seller's Homestead? Yes  No



Seller's Attorney (to review documents)

Seller's Attorney (to prepare deed & transfer)



Prior Title Evidence

None

Abstract   Will Seller surrender for credit? Yes  No

Title Insurance  File No.


Selling Co.   NMLS ID    ST License ID

Selling Agent    NMLS ID    ST License ID

(For this section, include complete name(s) as appearing on Offer to Purchase)

Buyer #1    LAST 4 OF SSN - Buyer #1    DOB

Buyer #2    LAST 4 OF SSN - Buyer #2    DOB

Home Phone:    Work Phone   His  Hers

Buyer's current address

Buyer's current city   State   Zip



Buyer's Lender

Lender NMLS ID    Lender ST License ID

Loan Officer    Phone

Loan Officer NMLS ID    Loan Officer ST License ID

Mortgage Broker

Mortgage Broker NMLS ID    Mortgage Broker ST License ID