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Please fill out the fields below. All fields with a (*) are required.
Date Opened*
Estimated Closing Date*
Property Address
County*:
Seller Name*
Address*:
Phone*:
Email*:
Payoff Company*: Payoff Company (2):
Homeowners Association:
Homeowners Association Phone:
Buyer(s)*: Buyer(s) Address*:
Buyer Phone*:
Buyer Email*:
New Lender/Broker Contact*:
New Lender/Broker Phone*:
New Lender/Broker Email*:
New Lender/Broker Fax*:
Title Company*:
Rep*:
Listing Agent*: Commission*: Company Name*: Address*:
Selling Agent*: Commission*: Company Name*: Address*:
Fax*:
Please attach your purchase agreement here:
License #96DBO-113994 | Epic Escrow Copyright 2020