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Buyer Offer Worksheet
*Please complete using all capital letters*
BUYER ONE INFORMATION
First Name:
*
Middle:
Last Name:
*
Address:
State
AK
AL
AR
AZ
CA
CO
CR
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip
Home Phone Number:
Business Phone Number:
Fax Number:
Cellular Phone Number:
E-Mail
BUYER TWO INFORMATION
First Name 2:
Middle 2:
Last Name 2:
Street address 2:
City 2:
State 2:
Zip Code 2:
Home Phone Number 2:
Business Phone Number 2:
Fax Number 2:
Cellular Phone Number 2:
Email Address 2:
PROPERTY INFORMATION
MLS Number:
Property Street Address:
Property City:
Property State:
Property Zip Code:
Purchase (Offering Price):
Closing Date or Length of Escrow (in days):
Initial Deposit Amount (1-3% of offering price)
Total Amount Financed ($ Amt or % of offering price):
Total Amount Down Including Initial Deposit ($ Amt or % of offering price):
Other Seller Requested Charges (i.e Seller contribution towards buyer's closing costs):
Property Includes (i.e. SPA):
Property Excludes (i.e. chandiler):
Is this purchase contingent upon the sale of another property?
--Select--
No
Yes
Any Other Requested Terms or Conditions:
ESCROW INFORMATION
Do you have a preference of Escrow Company (Fidelity, First American and Chicago Title are local to us):
LENDER INFORMATION
Lender's Officer Name:
Lender Company Name:
Lender Cellular Phone Number:
Lender Email Address:
Lender Fax Number:
Mortgage Type;
--Select--
Conventional
FHA
VA
USDA
Other
Home Warranty Protection Company Preference
--Select--
Old Republic
First American
Land America
American Home Shield
No Preference
Do you have a copy of a lender pre-qualification letter to include with your offer? - If Yes, please Email a copy to: Barry@BarretBrown.com ASAP
--Select--
Yes
No
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