Empire Title Colorado Springs | Title Insurance Colorado Springs

Listing Agent Information

Agent Name:

Company Name:

Company Address:

City:

State:

Zip:

Phone:

Fax:

Cell Phone:

Email:

Commission:

Admin Fee:

Selling Agent Information

Agent Name:

Company Name:

Company Address:

City:

State:

Zip:

Phone:

Fax:

Cell Phone:

Email:

Commission:

Admin Fee:

Property Information

Sales Price:

Earnest Money:

Address:

Unit No.:

City:

State:

Zip:

Legal Description:

Home Owners Assn.:

(enter name of HOA in place of None)

HOA Phone:

Seller Information

Seller1 Name:

Seller2 Name:

Seller Address:

City:

State:

Zip:

Seller Phone:

Payoff Lender1:

Loan Number:

Lender1 Phone:

Payoff Lender2:

Loan Number:

Lender2 Phone:

Buyer Information

Buyer1 Name:

Buyer2 Name:

Buyer Address:

City:

State:

Zip:

Phone:

Cash Deal?

Yes

No

New Lender:

Loan Officer:

Phone:

Fax:

Loan Amount:

Loan Type:

(i.e. VA, Conv, etc.)

Contract Information

Commitment Due Date:

Closing Date:

Contract will be:

Delivered

Faxed

Loan Amount:

Years:

Interest:

Annual Taxes:

Annual Insurance:

Monthly Payment Results

Principal & Interest

Property Taxes

Homeowners Insurance

Total PITI Payment