Buyer Information

Please select one option *

Individual

Corporation

Partnership

LLC

Other

Full Name *

Email *

Phone *

Property for Purchase

Address

City

Zip code

APN

County

<p>Terms of Agreement</p>

Terms of Agreement

Purchase Price

ALL CASH

Close of Escrow

Expiration of Offer

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*Default expiration is 3 business days at 5 pm if nothing selected

Initial Deposit Amount

Incrased Deposite

Loan Amount

Contingencies

Option to Remove Contingencies

Remove Loan Contingencies

Remove Inspection Contingencies

Remove All Contingencies

Loan Contingency

Inspection Contingency

Exchange Contingency

Include Exchange Contingency

Other Terms:

Agent Information (Optional)

DUEL AGENCY

What local expert are you working with?(Select an Option)

Amit Urban
David Katz
Eric Katz
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*If selecting dual agency, there is no need to fill out seller representation below

Seller Brokerage Firm

Seller Brokerage License #

Seller Agent Name

Seller Agent License #

Seller Agent Email Address

Seller Agent Phone Number

Additional Buyers or Sellers (Optional)

Buyer #2 Name

Buyer #2 Email Address

Seller #2 Name

Seller #2 Email Address