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Ordered By:
Financing: New Financing Refinancing
    (For Refinancing transactions, please disregard the "seller" section of this form)
Grace Office: Account Executive:
Buyer: Marital Status

Present Address

Address after closing

Closing: By Mail In Our Office

 Email

Buyer Phone #: (Home)  (work)  (cell)
Seller: Marital Status

Present Address

Address after closing

Closing: By Mail In Our Office

 Email

Seller Phone #: (Home)  (work)  (cell)
Financing Information :
Mortgage Broker
 Phone #
Mortgage Broker Contact
 Email
Lender
 Phone #
Lender Contact
 Email

Legal Description:

Property Address:
Property County:
Purchase Price: $ Closing Date:
Deposit : $ Loan Amount: $

Existing Mortgage With:

to be assumed to be satisfied 

 Loan #

Phone #

Information for Insurance:
Agent Phone #
Information for Survey: Amount $
Information for Termite: Amount $
Brokerage Fee:
Total $    Selling Office $    Listing Office $
Selling Office 
 Associate
  		Phone #
 Email
 
Listing Office
 Associate
 Phone #
 Email
Other Agent
 Associate
 Phone #
 Email
If the property is rented:
Amount of Monthly Rental is $ Due
Rent is to be pro-rated as of to
Is there a security deposit? Yes No
 Amount $
If the property is a condominium or covered by an association:

Amount of Maintenance Fee $ Quarterly Monthly

Name of Association:

Address of Association:

Person to Contact

Phone #

SPECIAL INSTRUCTIONS:


 

© 2007 The Grace Companies

The Grace Companies
225 S. Westmonte Dr., Suite 1050 Altamonte Springs Florida
321-207-0465 Toll Free: 800-943-0465

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