Brabazon Title Co., Inc. - Abstracts, Title insurance, Escrow closings.

2225 Cranston Road • Beloit, WI 53511 • Phone: (608) 362-0330 • Fax: (608) 362-0749

Closing Form

Do not press the <ENTER> key until you have completed this form. Use your <TAB> key to move from field to field. * denotes a required field

*Ordered By   E-mail
*Address
*City , State   Zip
*Phone    Fax

*Charge Service to

*Property Address
*City ,  State    Zip
Sales Price    Loan amount   Earnest Money
Closing Date
Total Commission %   Listing Broker %   Selling Broker %

(* Please fill in all known information)

Listing Co.    Listing Agent:

Seller 1    SSN
Seller 2    SSN
Seller 3    SSN

Home Phone     Work Phone    His   Hers
NEW address
Seller's Present Lender #1    Loan 1 #
Seller's Present Lender #2    Loan 2 #

Marital Status of Seller    Is Property Seller's Homestead? Yes No

Seller's Attorney (to review documents)
Seller's Attorney (to prepare deed & transfer)

*Prior Title Evidence
None
Abstract   Will Seller surrender for credit? Yes No
Title Insurance File No.

Selling Co.
Selling Agent
(For this section, include complete name(s) as appearing on Offer to Purchase)
Buyer #1    SSN - Buyer #1
Buyer #2    SSN - Buyer #2
Home Phone:    Work Phone His Hers
Buyer's current address
Buyer's current city   State   Zip

Buyer's Lender
Loan Officer    Phone

Buyer's Attorney (to review documents)

How do Buyers wish to take Title?
Will buyers be using property as a rental? Yes No
If Yes, who will pay for DIHLR? (Seller or Buyer)

(Fill in the following if applicable, otherwise indicate N/A)

Seller paying points/closing costs as follows

If rental now, rent per month: $ due on the of the month.
Occupancy date (if different from closing date)
Occupancy charge per day: $

Any other charges (ie: Home Warranty)

If home Warranty, payable to
Paid by (Seller or Buyer)

Meter Readings
Oil LP/Nat. Gas Water
Well/Septic Inspection (please provide bill) To:

*Is property more than a 4 family residence?	Yes No
* Is property more than 40 acres?	Yes No
* Is property bordered by water?	Yes No
*Is property a new construction?	Yes No

Special Instructions:

*Copy of the executed Offer to Purchase will be:
Faxed to Brabazon Title - (608) 362-0749
E-mailed to Brabazon Title - info@brabazontitle.com
Picked up by Brabazon Title