Order Title

Fill in the form below as accurately as possible. To expedite the process, you can also send any files you may have (purchase contract, escrow receipts, prior policies, etc) to the following email address: escrow@premier-lakeshore.com

Transaction details

For sale by owner?

Is this a short-sale?

Tell us who you are

First Name:

Last Name:

Email Address:

Phone Number:

Property Information

Sales price:

Closing Date

Month

Day

Year

Address:

City:

Zip:

HOA (if any):

The Seller

Is the seller an individual or company?

First Name:

Last Name:

First Name:

Last Name:

Marital Status

Company Name:

Company EIN (Employment Identification Number):

Seller's loan with (if applicable) (BOA, Chase, Wells Fargo, etc):

Email:

Phone:

The Seller's Agent

First Name:

Last Name:

Phone Number:

Email:

Company:

Compensation Amount:

MLS / Broker Additional Compensation:

The Buyer

Is the buyer an individual or company?

First Name:

Last Name:

First Name:

Last Name:

Marital Status

Company Name:

Company EIN (Employment Identification Number):

Buyer's loan with (if applicable) (BOA, Chase, Wells Fargo, etc):

Email:

Phone:

The Buyer's Agent

First Name:

Last Name:

Phone Number:

Email:

Company:

Compensation Amount:

MLS / Broker Additional Compensation:

Lender details

Lender Name:

Lender Phone:

Loan Amount:

Other details

Escrow amount:

Escrow held by:

Other specific details (POA, requires Survey, mail-away closing, etc):

Send Order