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Seller Information
Seller: Co-Seller:
Property Address: Mailing Address:
City: State:
Zip: Email:
Home Phone: Cell Phone:
Preferred Method of Contact:  Email     Cell Phone     Home Phone   
Buyer Information
Buyer: Co-Buyer:
Mailing Address:
City: State:
Zip: Email:
Home Phone: Cell Phone:
Preferred Method of Contact:  Email     Cell Phone     Home Phone   
Listing Agent Information
Listing Agent Name: Office:
Office Phone: Cell Phone:
Fax: Email:
Preferred Method of Contact:  Email     Cell Phone     Office Phone   
Buyer's Agent Information
Buyer's Agent Name: Office:
Office Phone: Cell Phone:
Fax: Email:
Preferred Method of Contact:  Email     Cell Phone     Office Phone   
Escrow Information
Escrow Branch: Escrow Officer:
 
karlhungus@mlhc.com lordwellington@mlhc.com j.bauer@mlhc.com marianorivera@placertitle.com karlrove@ncslenders.com