Selling Agent – Buyer Form v2 – Daniels Hand law

SELLING AGENT/BUYER FORM

Selling Agent:*
First Last
Selling Agent Email:*
Buyer's Name:
First Last
His Email:
Her Email:
Home Phone:
His Cell Phone:
Her Cell Phone:
Closing Date:
MM slash DD slash YYYY
Closing Time:

: Hours

Minutes

AM/PM
Property Address:
Street Address Address Line 2 City State ZIP Code
Listing Agent:
First Last
Listing Agent Email:
Are Buyer's Attending Closing?
- Yes
- No
Selling Agent's Commission:
New Lender's Name:
Contact Name:
Lender Contact Phone:
Lender Contact Email:
Home Owner's Insurance Company Name:
Agent's Name:
First Last
Agent's Phone:
Termite Inspection Company:
Phone:
Cost:
Please enter a number greater than or equal to 0.
Home Owner's Association/Management Company:
Phone:
Website:
Amount
Please enter a number greater than or equal to 0.
Survey?
- Yes
- No
If no, will affidavit be used?

Daniels Hand Law
209 S. Academy Street
Cary, NC 27511
919.389.8294
[email protected]