Alcorn Karlin LLC Purchase Order Form

PURCHASE TITLE/CLOSING ORDER FORM

ORDER DATE ORDERED BY
WILL WE BE CLOSING THIS TRANSACTION FOR YOU?

PROPERTY INFORMATION
PROPERTY ADDRESS
CITY/STATE/ZIP
TAX ID NO

PURCHASE PRICE:

SETTLEMENT DATE

SELLER’S INFORMATION
NAME
NAME
ADDRESS
CITY/ST/ZIP
PHONE

MARITAL STATUS
BROKER/AGENT
PHONE

COMMISSION AMNT % COMMISSION SPLIT EARNEST $

SELLERS ATTORNEY DO WE NEED TO PREPARE A DEED?

EXISTING LENDER
CO NAME
PHONE

LOAN#
FAX

*PLEASE SEND AUTHORIZATION TO ORDER PAYOFF AT TIME OF TITLE INS ORDER.

BUYER’S INFORMATION
NAME
NAME
ADDRESS
CITY/ST/ZIP
PHONE

BROKER/AGENT
PHONE
BUYER’S ATTORNEY

NEW LENDER INFORMATION

LOAN AMOUNT            NEW LENDER
PHONE       FAX       EMAIL
ENDORSEMENTS FOR LOAN POLICY: EPL    ALTA    LOC    OTHER

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