Name of person filling out form: Phone of person filling out form: Sale Information Dakota Abstract File No.: Anticipated Closing Date*: Earnest Money $: Purchase Agreement Date: Sale Price: Closing Date: *contact closing deptartment to schedule Property Information Address: City: County: Zip: Homeowners Association Information Association Name: Contact Person: Phone: Fax: Address: Seller Information Seller's Name: Social Security No: Phone (W): Phone (H): Phone (Cell): Seller's Name: Social Security No: Phone (W): Phone (H): Phone (Cell): Present Address: Marital Status: STATUS - Single - Married - Separated - Divorced - Widowed Forwarding Address: Seller Attorney: Present Financing Mortgage Company: Loan No: Phone: Second Mortgage/ Equity Lines of Credit?: Yes No Mortgage Company: Loan No: Phone: Buyer Information Buyer's Name: Phone (W): Phone (H): Phone (Cell) : Buyer's Name: Phone (W): Phone (H): Phone (Cell): Present Address: Marital Status: STATUS - Single - Married - Separated - Divorced - Widowed New Financing Information Lender: Loan Officer: Phone: Listing Agent(s) Name: Company: Phone: Fax: Selling Agent(s) Name: Company: Phone: Fax: Commission %: or $: % of SD Sales Tax : Earnest Money Deposited With: STATUS - Listing Agent - Seller Has - None -Title Co. Enter Text in Image THIS is REQUIRED for the form to be SUBMITTED Click the image to refresh the Text Other Pertinent Information or Comments PLEASE REMEMBER TO SEND A COPY OF THE PURCHASE AGREEMENT TO CLOSING DEPARTMENT.

Member of: ALTA & SDLTA
Copyright © Dakota Abstract & Title Company, Inc.

Web Site Designed and Maintained by:
MAS Media