BUYER SIDE TRANSACTION FORM

NOTE: YOU CAN WRITE N/A, TBD OR PROVIDED

Buyer 1		SSN
Buyer 2		SSN
Current Address
Loan Officer		Phone
Company		Email
New Lender		Loan Amount
Address (ICL)		Estimated Closing
How will the buyer(s) hold title	Click here for different types of ownership

Will the buyer need a Power of Attorney? No Yes, From to

Commission % or $ Broker Fee $

Are you giving a credit from your commission? No Yes,

Note: If you are providing a credit, please provide a copy of a broker letter

Termite Co.		Paid by
Phone
	Note: Please provide a copy of the termite report
Home Warranty		Paid by
Phone
	Note: Please provide a copy of the home warranty form

Special Instruction

This information was completed by: Date