On Line Closing Information Sheet

You Are?
Exchanger
Closing Officer/Closing Attorney
Real Estate Agent/Broker
Other	Name:
	E-Mail:
Closing Officer or Closing Attorney Information:
*First Name:
*Last Name:
Company:
Address:
Address 2:
City:
State:
Zip:
*Phone #:
*Fax #:
*E-Mail:
File #:
*May we e-mail documents?
Exchanger Information: (all fields required)
Exchanger Vesting (Entity Selling Property)
Title Held As:
Exchanger's Name:
Address:
Address 2:
City:
State:
Zip:
Contact Phone #:
Alternate Phone #:
Exchanger E-Mail:
Exchanger's Realtor Information:
Name:
Organization:
Work Phone #:
Mailing Address:
Mailing Address2:
City:
State:
Zip:
Realtor's E-Mail Address:
Sale Property Information:
Property Address or Description*:
* If no physical address, please enter description or fax legal description to (610) 941-2133, Attention: "New Exchanger" and reference Exchanger's name.
City:
State:
Zip:
County:
Property Type
Buyer Information:
Buyer Vesting:
Buyer's Realtor Information:
Name:
Company:
Phone:
Fax
Mailing Address:
Mailing Address2:
City:
State:
Zip:
E-Mail
Transaction Details:
*Sale Price $:
*Approx. Mortgage Payoff Amount $:
*Estimated Closing Date:
*Is There Seller Financing?
If Yes, how much? (approximate $):