What type of transaction is it?  Sale Refinance Foreclosure Report

Buyer 1 Full Name: 

Buyer 2 Full Name: 

Seller 1 Full Name: 

Seller 2 Full Name: 

Property Address: 

City:    State:    Zip: 

Contract to be   Faxed to 614.221.2086

                        E-mailed to Frank Farkas

Sellers Payoff Information

First mortgage lender: 

Loan #:    Contact #: 

Seller Real Estate Agent: 

Phone #:    Fax #: 

E-Mail: 

Buyer Real Estate Agent: 

Phone #:    Fax #: 

E-Mail: 

Sales Price:  $

Buyers Lender Contact Information

Lender:    

Contact Name: 

Phone #:    Loan amount:  $

Additional Notes: