Purchase/Sale Order Form


 

 

*Fields in red are required.

Order Contact Information

First Name

Last Name

Company

Address

City

State

Zip

Office Phone

Cell Phone

Facsimile

Email Address


Property Information

Address

City

State

Zip

County

APN Parcel ID 1

APN Parcel ID 2

Legal Description


Order Information

Service Type

Need by Date:

Contract Closing Date:

Fidelity Branch

Escrow Officer

Sales Representative


Seller(s)

Pre

First

Middle

Last

Pre

First

Middle

Last


Buyer(s)

Pre

First

Middle

Last

Pre

First

Middle

Last


Listing Agent Information

First Name

Last Name

Company

Office Phone

Cell Phone

Facsimile

Email Address


Selling Agent Information

First Name

Last Name

Company

Office Phone

Cell Phone

Facsimile

Email Address


Lender Information

First Name

Last Name

Company

Office Phone

Cell Phone

Facsimile

Email Address

Loan/Reference Number

Sales Price

Loan Amount


Payoff Loan 1

Lender

Telephone

Facsimile

Loan/Account Number

Loan Amount


Payoff Loan 2

Lender

Telephone

Facsimile

Loan/Account Number

Loan Amount