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   Online Settlement Form
Email Settlement Form

Please complete the following form. When finished, click on the "Send" button. A link to the completed form will be sent to you and your client.

General Information

Your Email Address:
Your Client's email address:
Date:
Closing Office:
Closing for:
Buyer: Seller:
Office Phone:
Settlement Date:
Office Fax:
Property Address:
Listing Office:
Listing Office Phone:
Listing Agent:
Listing Office Fax:
  Listing Agent Cell/VM:
Selling Office:
Selling Office Phone:
Selling Agent:
Selling Office Fax:
  Selling Agent Cell/VM:

Seller Information

Sellers(s):
Address:

(if different from property address)

Contact #'s

Home #:
Work #:
Cell Phone:
Email:
Sellers Attorney:
Phone #:
  Fax #:

Payoff Information

Company:
Loan #:
Phone #:
SSN:
Payoff Information: (2nd if applicable)
Company:
Loan #:
Phone #:
Homeowner's Association:
Phone #:
Termite Company:
Phone #:
Home Warranty:
Cost:
Paid By:
Buyer
Seller

Buyer Information

Buyer(s):

(the way that the names are to appear on title)
Current Address:
Contact#'s
Home #:
Work #:
Cell Phone:
Email:
Order Survey
Yes No
Mortgage Company:
Phone #:
Loan Officer:
Fax #:
  Email:
New Insurance Company:
Phone#:
Earnest Money Deposit:
Held by:
Commission Breakdown: % to Listing Office:
% to Selling Office:
Total % Commission:

   

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