Real Estate Buyer Form

Real Estate Buyer Form
Telephone: 336-285-5933/336-333-7907
Fax: 336-333-7909
Email: swilliams@revolution.law
Agent Name
Date

MonthDayYear
Date
Closing Date

MonthDayYear
Date
Preferred Closing Time (we will do our best to accommodate)
Buyer
Seller
Property
Buyer Mailing Address
Buyer Email Address
example@example.com
Buyer Telephone #
Format: (000) 000-0000.
Marital Status/Spouses Name
Lender Information
Contact
Homeowners Insurance
Contact
Phone
Format: (000) 000-0000.
Termite Inspection
Amount
Home Inspection
Amount
Home Warranty
Amount
Keys to House to be delivered by:
Other Repairs & Costs to be paid for by Buyer at Closing:
Name
Amount
Name
Amount
Name
Amount

Commissions:

We look forward to working with you in this matter and appreciate your hard work in obtaining this vital information.
How would you like to contacted moving forward?
Should be Empty: