Parast Law - Order Title for Purchase

Please supply the following Information so that we can get started on your file:

Property (* Required)

Address: *

City:*

State:*

Zip:*

County:

Sales Price:

Anticipated Closing Date:

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Seller(s)	Seller 1 *		Seller 2
Name:*		Name:
Phone:		Phone:
Email:		Email:

Listing Agent
Agent Name:
Agent Company:
Agent Email:
Agent Phone:

Buyer(s)	Buyer 1 *		Buyer 2
Name:*		Name:
Phone:		Phone:
Email:		Email:


Selling Agent
Agent Name:
Agent Company:
Agent Email:
Agent Phone:


Buyer's New Lender (if known)
Lender Name:
Loan Officer:
Contact Phone:
Contact Email:
Loan Number:
Loan Amount :
Mortgagee Clause:

Additional Comments: