Express Resale

SELLER(S) INFORMATION

Seller Name

SS#

Seller Name

SS#

PAYOFF INFORMATION

Payoff #1

Account #

Payoff #2

Account #

BUYER(S) INFORMATION

Buyer Name

SS#

Buyer Name

SS#

Lender Name

Loan Amount

Address

City

State

Zipcode

Phone No.

FAX No.

Property Address:

Address

City

State

Zipcode

Purchase Price

Escrow Period (Days)

Listing Office/Agent

Commission %

Phone No.

Selling Office/Agent

Commission %

Phone No.

Seller Credit for Closing

Not to Exceed

Termit Inspection/Completion

Not to Exceed

Homeowner Association

Name of Association & Management Co.

Phone No.

Seller to pay 1 yr home warranty

Not to Exceed

Escrow to order prop. zone disclosure

Name of Zone Disclosure Co.

Escrow Officer

Title Company

Account Executive

Title Rep.

Express Resale

SELLER(S) INFORMATION

PAYOFF INFORMATION

BUYER(S) INFORMATION

Property Address:

COMPANY INFORMATION