Property Address
*
City
*
State
*
Zip
*
Total Commission
Settlement Date
Remote Online Notary Closing (RON)?
Yes
No
Mail Away?
Yes
No
Listing Agent
Selling Agent
TLG Represents:
Select One
Buyer
Both Sides
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Preferred Processor?
Select One
Pam
Melanie
Christy
Annie
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Buyer Information
Buyer Full Name
*
Buyer Phone
*
Buyer Email
*
Buyer Marital Status
Select One
Single
Married
Widowed
Divorced
Separated
Other
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2nd Buyer
2nd Buyer Name
2nd Buyer Phone
2nd Buyer Email
Lender Info
Buyer's Lender Company
Buyer's Lender Contact
Buyer's Lender Phone
Buyer's Lender Email
Insurance Info
Homeowner's Insurance Company
Homeowner's Insurance Contact
Homeowner's Insurance Company Phone
Buyer Agent Info
Buyer's Agent Company
Buyer's Agent Name
Buyer's Agent Phone
Buyer's Agent Email
Seller Information
Seller Name
Seller Phone
Seller Email
Seller Marital Status
Select One
Single
Married
Widowed
Divorced
Separated
Other
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2nd Seller Info
2nd Seller Name
2nd Seller Phone
2nd Seller Email
Seller's Agent
Seller's Agent
Seller's Agent Company
Seller's Agent Phone
Seller's Agent Email
HOA or Property Management Company?
Yes
No
Seller's Closing Company (If not TLG)
Seller's Closing Company
Seller's Closing Contact
Seller's Closing Phone
Seller's Closing Email
Mortgage Info
Mortgage Company
Mortgage Company Contact
Mortgage Contact Phone
Mortgage Contact Email
Loan No.
2nd Mortgage Company
2nd Mortgage Contact
2nd Mortgage Contact Phone
2nd Mortgage Contact Email
2nd Loan No.
Inspection Info
Termite/Moisture Company
Home Inspection
Yes
No
Inspection Date
Attach Purchase Agreement Documents
PDFs Only, Please. No more than 4 separate files.
SUBMIT BUYER INTAKE FORM