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Property Address
City
Zip
APN #
Date Escrow Opened Est. Escrow Days
Purchase Price Amt. of Initial Deposit
New Loan 1st 2nd
SELLERS INFORMATION BUYERS INFORMATION
Seller Name Buyer Name
Address Address
City City
State State
Zip Zip
Email Email
Phone Number Phone Number
Broker Broker
Agent Agent
 
Home Warranty Yes No Who Pays Not to Exceed
Hazard Disclosure Yes No Who Pays
Termite:
Who Pays 		Section 1

Not to Exceed 		Section 2

Not to Exceed
 
HOA Name ManagementCo.
Monthly Dues Seller Pays Transfer Fee ?
yes No 		Phone
 
Sewer Yes  No Septic: Cert ? Yes  No
Water Stock Yes  No if Yes, Company Name
Boat Dock associated? Yes  No
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