For Sale By Owner Order Form

Person Placing Order

Name of Person Placing Order

Full Name *

Phone *

Email *

Fax

Purchase Price * $

Anticipated Closing Date

Month

Day

Year

Property Information

Type of Property *

Address *

City *

State *

Zip Code *

County *

Acreage

Lot Number

Tax Parcel ID

Second Tax Parcel ID

Legal Description or Additonal Information

Buyer Information

Buyer to receive Title as

Legal Name of Trust or Corporation or LLC

Name(s) of Trustees or officers and titles, if applicable

Buyer 1 Full Name *

If individual buyer enter name here. If Corp., LLC or Trust enter name of person(s) signing.

Marital Status *

Martial Status of Buyer 1

Spouse's Name *

If not applicable, enter N/A

Address *

City *

State *

Zip Code *

Phone *

Fax *

Buyer 2 Information

Buyer 2 Full Name *

If there is no Buyer 2, enter N/A. If additional person signing for Trust, Corp or LLC enter name here.

Marital Status

Spouse's Name

Name of Buyer 2 spouse. Enter N/A if not applicable

Address

Buyer 2

City

State

Zip Code

Buyer 2

Phone

Buyer 2

Fax

Buyer 2

Additional Buyers and their Information

Buyer's Lender Information

Buyer's Lender Name

Loan Officer's Name

Phone

Fax

Seller Information

Title Held as

Legal Name of Trust, Corporation or LLC

Names of Trustees or Names of Officers in Corporation or LLC that will be signing and their titles

Seller Full Name *

If individual enter seller 1 name. If title held in Corporation, LLC or Trust enter names of persons signing and their title.

Marital Status *

Spouse's Name *

Enter Name of Spouse. If Not Applicable, enter N/A

Address *

City *

State *

Zip Code *

Phone *

Fax

Seller 2 Information

Seller 2 Full Name

Enter Full name of 2nd seller. Enter N/A if Not applicable. If Trust, Corporation or LLC enter name of 2nd person signing

Marital Status

Seller 2 Spouse's Name

Enter Seller 2 Spouse's Name. If not applicable enter N/A

Address

Seller 2 Address

City

Seller 2

State

Seller 2 State

Zip Code

Seller 2

Phone

Seller 2

Fax

Seller 2

Additional Sellers and their information

Seller Payoff Lender Information

Payoff Lender 1

Payoff Lender 1 Name

Payoff Lender 1 Loan Number

Payoff Lender 1 Loan Balance

Payoff Lender 1 Address

Payoff Lender 1 City

Payoff Lender 1 State

Payoff Lender 1 Zip Code

Payoff Lender 1 Phone

Payoff Lender 1 Email

Payoff Lender 1 Fax

Payoff Lender 2

Payoff Lender 2 Name

Payoff Lender 2 Loan Number

Payoff Lender 2 Loan Balance

Payoff Lender 2 Address

Payoff Lender 2 City

Payoff Lender 2 State

Payoff Lender 2 Zip Code

Payoff Lender 2 Phone

Payoff Lender 2 Email

Payoff Lender 2 Fax

Homeowners Association Contact If Applicable

Association Contact Person Name

Amount of Monthly Dues $

Association Contact Phone Number

Currrent Month Paid

Notes or Miscellaneous Information

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