New Title Order Form
Simple Home Settlements
Buyer Agent
*
Buyer Agent Email
example@example.com
Are you the agent, or filling the form out on behalf of an agent?
*
I am the agent
I am filling out the form on behalf of an agent
Your Name
First Name
Last Name
Your Email
example@example.com
Buyer 1 Email
example@example.com
Buyer 2 Email
example@example.com
Buyer's Marital Status
Single
Married
Was an Escalation Addendum Triggered?
Yes
No
Final Sale Price
Is there an HOA?
Yes
No
Listing Agent's Name
First Name
Last Name
Listing Agent's Email
example@example.com
Is there a Transaction Coordinator on the List Side?
Yes
No
Name
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Property Address
*
Street Address
Street Address Line 2
City
State
Zip Code
Settlement Date
*
-
Month
-
Day
Year
Date
Settlement Location
KW Harrisburg 530 N. Lockwillow Avenue
KW Hershey 339 W Governor Rd
KW Lebanon 2397 Quentin Road
Simple HQ 2309 Market Street, Camp Hill
ReMax Premier 1130 Cocoa Avenue
EXP Hershey 540 Old W. Chocolate Ave
CB Camp Hill 3915 Market Street Street
IVRE Hershey 131 W. Chocolate Ave
IVRE Harrisburg 4785 Linglestown Road
Loan Officer Name
Loan Officer Email
Commission Paid by Seller
Commission Paid by Buyer
Buyer's Agent Broker Fee Paid by Buyers
Upload Agreement of Sale Here
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Additional Comments
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