Purchasers/Borrowers
Buyer 1:
Address:
City, State, Zip:
Buyer 2:
Address:
City, State, Zip:
Sellers
Seller 1:
Address:
City, State, Zip:
Seller 2:
Address:
City, State, Zip:
Property Information
Street:
City, State, Zip:
County:
Short Legal:
Sub/Condo Name:
File Information
Closing Date:
Type:	Cash Convential FHA FmHA VA Other Refinancing Yes
Sales Price:
Loan Amount:
Customer File No:
I am the:	Lender Listing Broker Selling Broker
Agents
	Lender:
	Listing Broker:
	Selling Broker:
	Lender:
Email:
Critical Items
	Assumption Package Request:
	Flood Insurance Request:
	Hazard Insurance Request:
	HOA Letter:
	Lender Payoff Request:
	Pest Inspection Request:
	Search Request:
	Survey Request:
NOTES:	GATE TITLE COMPANY FAX: 904.273.2781