State Postal ABR

Jack Keller Inc. REALTORS

Equal Housing

I have a contract

* = REQUIRED sections.

* Your Name(s) :
*MLS # :
* Property Address :
* Property City :
* Property State :
* Property Zip :
* Phone :
* E-mail :
* Contract Date :
* Expected Closing Date :
* What is the contract sales price? : (This information is kept confidential until after closing)
* What type of financing is the buyer going to use? :	Conventional loan V.A. loan Cash F.H.A. loan Seller Financing Other
* Was the buyer represented by a REALTOR? :	Yes No
REALTOR's name :
REALTOR'S office name :
* Are there any sellers concessions or buyers closing costs paid by you?	Yes No
If so how much are they?
What title company or attorney will close the transaction? :
What's the title company or attorney's phone number? :
What's the representative's name at the title company or attorney's office? :

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