Date:

Client: Seller Buyer

Name of Client:

Street Address:

City, State, Zip:

Phone:

Fax:

Cell Phone:

Work Phone:

Social Security #:

Name of Buyer or Nominee:

Name of Seller or Nominee:

Address of property for sale:

Buyers Attorney (please include phone #):

Sellers Attorney (please include phone #):

Buyers Broker (please include phone #):

Sellers Broker (please include phone #):

Lender (please include phone #):

Lenders Attorney (please include phone #):

Purchase Price:

Date of Offer to Purchase:

Deposit (Offer to Purchase) :

Date of Purchase and Sales Agreement:

Deposit (P&S):

Closing Date:

Balance Date:

CONTIGENCY CLAUSES:

Property Inspection Date:

Pest Inspection Date:

Mortgage Contigency Date:

Attorney Notes (What's Included/Excluded):