*Choose Escrow Officer:	Choose Escrow Officer Corbi Smith - San Bernardino Kelly Blue - Temecula Marilyn Tolen - San Bernardino Marie Hessom - Temecula Karen Gutierrez - Temecula Jessica Sarpong - Palm Springs Ann Lonnie - Palm Desert Eva Silva - Imperial County Heather Skains - Imperial County
*Choose Sales Executive:	Choose Sales Executive Lavonne Benyola Cindi Monaco Jose Ruiz Colette Gifford Robert Maletti Marilyn Smith Bobby Tarango Mike Arias Patti MacGregor Heather Clark Shana Toohey Joe Knight Roger Singer Mary Thompson Jamie Robbins Lorin Whittaker Christal Fields
*Full Name:
*Phone:	- xxx xxx-xxxx
Fax:	- xxx xxx-xxxx
*Email:
*Company Name:
*Subject Property Address:
*Subject Property City:
*Is this for a Short Sale?:	Yes No
*Sales Price:
*Commission Amount:
*Termite:	Yes No
If Yes Cost:
*Septic:	Yes No
If Yes Cost:
*Home Warranty:	Yes No
If Yes Cost:
*National Hazard Disclosure (NHD):	Yes No
*Is Seller Paying any Buyers Closing Fees?:	Yes No
If Yes Amount:
*Is it a Normal Split on the Title and Escrow fees?:	Yes No
If No Please Explain:
*1st Loan Payoff:	Yes No Yes, Amount Not Available
If Yes 1st Loan Payoff Amount:	Estimated?
*2nd Loan Payoff:	Yes No Yes, Amount Not Available
2nd Loan Payoff Amount:	Estimated?
*Is there a HOA?:	Yes No
If Yes is the Seller Current:	Yes No
If No what is the Outstanding HOA Balance:
Monthly Dues:
What is the Estimated Transfer Fee and Doc Fees from the HOA?:
*Any Additional Repairs to to Add to Estimate?:	Yes No
If Yes Amount:
*Any Additional Liens to be Paid?:	Yes No
If Yes Please Explain and Provide Amounts:
Any Additional Comments:	Please type the Text below and then click Submit.
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