Buyer Transaction
Intake Form
Type Of Transaction:
*
Traditional
REO
Investor
Assignee
*
Subject Property Street Address
*
(Example: 123 South Main Boulevard)
Subject Property City
Subject Property State
Subject Property Postal Code
1st Deadline Date To Add:
*
EMD Deadline For Transaction
No EMD Deadline For Transaction
EMD Deadline Date
2nd Deadline Date To Add:
*
Disclosure Deadline Date For Transaction
No Disclosure Deadline For Transaction
Disclosure Deadline Date
3rd Deadline Date To Add:
*
Termite Inspection Deadline Date For Transaction
No Termite Inspection For Transaction
Termite Inspection Deadline Date
4th Deadline Date To Add:
*
Property Inspection Contingency Removal Deadline
No Property Inspection Contingency For Transaction
Property Inspection Contingency Removal Date
5th Deadline Date To Add:
*
Appraisal Deadline For Transaction
No Appraisal Deadline For Transaction
Appraisal Deadline Date
6th Deadline Date To Add:
*
Loan Contingency Deadline For Transaction
No Loan Contingency For Transaction
Loan Contingency Deadline Date
7th Deadline Date To Add:
*
Complete Contingency Removal Deadline For Transaction
No Complete Contingency Removal For Transaction
Complete Contingency Removal Deadline Date
8th Deadline Date To Add:
*
Final Walkthrough Deadline For Transaction
No Final Walkthrough For Transaction
Final Walkthrough Deadline Date
9th Deadline Date To Add:
*
Closing Date Deadline For Transaction
No Closing Date Deadline For Transaction
Closing Date
Buyer's First Name
Buyer's Last Name
Buyer's Phone
*
Buyer's Email
*
Buyer's Date of Birth
Buyer's Current Street Address
Buyer's Current City
Buyer's Current State
Buyer's Current Postal Code
Is There A Buyer's Spouse To Add?
*
Yes
No
Buyer's Spouse First Name
Buyer's Spouse Last Name
Buyer's Spouse Phone
*
Buyer's Spouse Email
*
Buyer's Spouse Date of Birth
Is There a Seller Agent to Add?
*
Yes
No
Seller Agent's First Name
Seller Agent's Last Name
Seller's Agent Company
Seller's Agent Phone
*
Seller's Agent Email
*
Seller's Agent Street Address
Seller's Agent City
Seller's Agent State
Seller's Agent Postal Code
Is There Seller Info To Add?
*
Yes
No
Seller's First Name
Seller's Last Name
Seller's Phone
*
Seller's Email
*
Seller's Date of Birth
Seller's Current Street Address
Seller's Current City
Seller's Current State
Seller's Current Postal Code
Is There A Seller's Spouse To Add?
*
Yes
No
Seller's Spouse First Name
Seller's Spouse Last Name
Seller's Spouse Phone
*
Seller's Spouse Email
*
Seller's Spouse Date of Birth
Is There a Transaction Coordinator For You?
*
Yes
No
Transaction Coordinator's First Name
Transaction Coordinator's Last Name
Transaction Coordinator's Phone
*
Transaction Coordinator's Email
*
Transaction Coordinator's Street Address
Transaction Coordinator's City
Transaction Coordinator's State
Transaction Coordinator's Postal Code
Is There a Transaction Coordinator for the Other Side?
*
Yes
No
Transaction Coordinator (2) First Name
Transaction Coordinator (2) Last Name
Transaction Coordinator (2) Phone
*
Transaction Coordinator (2) Email
*
Transaction Coordinator (2) Street Address
Transaction Coordinator (2) City
Transaction Coordinator (2) State
Transaction Coordinator (2) Postal Code
Is There a Lender?
*
Yes
No
Lender Company Name
Lender Rep's First Name
Lender Rep's Last Name
Lender Phone
*
Lender Email
*
Lender Street Address
Lender City
Lender State
Lender Postal Code
Is There an Escrow Company?
*
Yes
No
Escrow Company
Escrow Company Street Address
Escrow Company City
Escrow Company State
Escrow Company Postal Code
Escrow Rep's First Name
Escrow Rep's Last Name
Escrow Rep's Phone
*
Escrow Rep's Email
*
Is There a Title Company?
*
Yes
No
Title Company
Title Company Street Address
Title Company City
Title Company State
Title Company Postal Code
Title Rep/Attorney's First Name
Title Rep/Attorney's Last Name
Title Rep/Attorney Phone
*
Title Rep/Attorney Email
*
EMD Info
EMD Amount ($)
*
Is There A Copy Of The Contract To Upload?
*
Yes
No
Upload Contract Here