Client and Property Information:

1. Ordered By:
   
2. Your Company:
   
3. Phone:
    
4. Email:
   
5. Date Ordered:
   
6. Estimated Closing Date:
   
7. Type of Transaction:
   Cash Deal Seller Financed Institutional Financing FHA Insured Loan Assumption
8. Sales Price:
   and, if applicable, Loan Amount:
9. Property Information:
   County: Not Known Alachua Clay Duval Flagler Putnam St. Johns   (Need at least one of the below)
   1. Parcel No#:
   2. 911 Address:
      
   3. Brief Legal Description:
      
   4. Property as recorded in Official Records Book , page

Buyer(s)/Borrower(s) Information:

1. Name(s):
   

2. Mailing Address:
   

3. Social Security No(s): and

4. Phone Numbers:
   

5. Email Addresses:

6. Will Buyer(s) personally attend closing? Yes    or     No

7. Please furnish us with any additional information we may need for the Buyer(s)/Borrower(s):