Title Insurance Services - Title Insurance Companies in Wisconsin and Illinois

SALES FORM

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Note: Our standard Sales Order form is also available to download in PDF format.

* = Field required to submit form.

*E-mail

Name

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