| Seller's Full Name: |
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| Buyer's Full Name: |
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| Property Address Line 1: |
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| Property Address Line 2: |
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| City: |
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| State: |
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| Zip Code: |
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| Seller's Phone Number: |
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| Year Built: |
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| Foundation: |
Crawl Space
Basement
Slab |
| Stucco?: |
Yes
No |
| Lock Box?: |
Yes
No |
| Is the property occupied?: |
Yes
No |
| Type of Loan: |
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| Closing Date: |
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| Access to property: |
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| To what address should the letter be forwarded?
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| Address 1: |
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| Address 2: |
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| City: |
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| State: |
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| Zip Code: |
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| Is the property under termite coverage?: |
Yes
No |
| With whom?: |
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| Closing Attorney: |
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| Closing Attorney's Phone Number: |
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| Closing Attorney's Fax: |
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| Special Instructions: |
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