Realtor Title Order Form - Landmarc Abstract and Settlement Services, LLC

Realtor Name *

First

Last

Realtor Email *

Realtor Phone *

Buyer Name *

First

Last

Buyer Address *

Address Line 1

Address Line 2

City

State

Zip Code

Buyer E-Mail *

Buyer Phone

Buyer Realtor Name (if applicable)

First

Last

Buyer Realtor E-Mail

Seller Name *

First

Last

Seller Address *

Address Line 1

Address Line 2

City

State

Zip Code

Seller E-mail *

Seller Realtor Name (if applicable)

First

Last

Seller Realtor E-mail

Deed Preparer (if applicable)

Sale Price *

Loan or Cash

Loan
Cash

Property Address *

Address Line 1

Address Line 2

City

State

Zip Code

Is any part of the the property leased or rented?

Yes
No

Homeowner Association?

Yes
No

Realtor Commission %

Seller Assist $ (if applicable)

Reduce commission by seller assist

Yes
No

Closing Date

Notes/Comments

Upload Files

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