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Request for Title Closing

Just Fill in the Blanks and Click the Button at the Bottom

Orders placed over the Internet do not constitute an enagagement of this firm unless and until you receive a confirmation from Finkelstein & Associates.

If you don't receive a confirmation within 24 hours, please call our office at ( 941) 952-9999

General Information

Order Placed By:

Contact:

Email Address:

Cash Transaction?

Sales Price:

Closing Date:

House, condo or raw land:

Property Information

Address:

Brief Legal Description:

Purchaser Information

(If taking title in a trust, please provide a copy as soon as possible. If a Power of Attorney is to be used, original will be required for recording.)

First Purchaser

Name:

Mail Away?

Address:

SSN:

Home Phone:	Work Phone:	Mobile Phone:	Fax:

Spouse's Name:

Spouse's SSN:

Second Purchaser

Name:

Mail Away?

Address:

SSN:

Home Phone:	Work Phone:	Mobile Phone:	Fax:

Spouse's Name:

Spouse's SSN:

Seller Information

First Seller

Name:

Mail Away?

Address:

SSN:

Home Phone:	Work Phone:	Mobile Phone:	Fax:

Spouse's Name:

Spouse's SSN:

Second Seller

Name:

Mail Away?

Address:

SSN:

Home Phone:	Work Phone:	Mobile Phone:	Fax:

Spouse's Name:

Spouse's SSN:

Selling Agent

Name:

Company:

Work Phone:	Mobile Phone:	Fax:	Email Address:

Listing Agent

Name:

Company:

Work Phone:	Mobile Phone:	Fax:	Email Address:

Commission

Total Commission:	Percentage Split:

Commission to Selling Agent:	Commission to Listing Agent:

Earnest Money

Amount:	Held By:

Closing Location

Our Office? Yes or No:	Your Office? Yes or No:

Our Bradenton, Venice, or Port Charlotte office?	Other? Please Specify:

Mortgage Payoff Information

First Mortgage Lender:	Address:

Phone #:	Loan Number:

Second Mortgage Lender:	Address:

Phone #:	Loan Number:

Financing Information

Lender:	Address:

Phone #:	Fax:

Insurance Agent:	Address:

Phone:	Fax:

Contact from Insurance Agency

Homeowner, Condominium Association

Master Association:	Phone:	Contact:

Community Association:	Phone:	Contact:

Survey and Inspections

Prior Survey? Yes or No	Survey Company?	Phone:

Termite Inspection?	Company?	Phone:

Miscellaneous Information

Copy of Prior Owner's Policy?

Any special instructions for the title agent?

Thank you very much for your order!.

Main office telephone number: 941-952-9999.
Main fax number: 309-9999

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