Buyer Information FormClosing InformationAddress of Property being Purchased *Closing Date Will Buyer Attend Closing *If not, a Power of Attorney will be required. Please contact our office to make arrangements for POA to be prepared and signed.Buyer Will AttendBuyer Will NOT AttendBuyer's InformationBuyer's Full Name *Buyer's Marital Status *SingleMarriedSeparatedDivorcedBuyer's Spouse Name Best Number to Reach Buyer Buyer's Alternative Number (Work, Cell, etc) Agent's InformationReal Estate Agent's Name Agent's Phone Number Agent's Email Address Agent's Commission Arraingment Real Estate Agent's Document Preparation Fee Mortgage Lender InformationName of Mortgage Lender Contact Person at Mortgage Company Lender's Phone Number InsuranceHomeowner (Hazard) Insurance Company Insurance Agent's Name Insurance Agent's Contact Number Inspections and WarrantyName of Termite Inspection Company Amount Paid to them at Closing Other Inspections and Amount Paid to Each at Closing Home Warranty Company Amount Paid to Home Warranty Company at Closing Home Warranty Ordered by: Listing AgentSelling AgentSurveyShould this office order a survey for the buyer? *A survey WILL NOT be ordered unless requested by agent, buyer or lender. Surveys are highly recommended for new buildsYesNoNot Yet DeterminedMiscellaneousAny Additional Charges to be paid at Closing? Please list any additional charges or expenses that are to be paid at the closing.Additional Comments VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank:
