Alday-Donalson Title Agencies of America, Inc. Carrollwood/Tampa Kennedy Blvd/Tampa Tampa Palms/Tampa Temple Terrace/Tampa Bay Hill Belleair Sarasota Melbourne Pasco Port Richey Seminole St. Petersburg Hernando Spring Hill   Alday-Donalson Title Agency, Inc. Brandon Plant City Riverview Lakeland     Date: Closing Date: Rate Quoted: Sales Price: Listing Fee: Commission %: Deposit:             Listing Agent: Selling Agent: Company: Company: Phone #: Phone #:

Property Address:

Brief Legal Description:

 Seller Information

Seller (leave blank if refinancing)
Seller's Name:		Seller's SSN:
Co-Seller's Name:		Co-Seller's SSN:
Marital Status:		Seller's Phone:
Seller's Address:		City:
State:	ZIP:

Prior Title Policy?               Yes No        Is This A Mail Away?       Yes No

Payoff Information

Lender:		Loan #:
Phone #:

 

Buyer Information

Buyer's Name:		Buyer's SSN:
Co-Buyer's Name:		Co-Buyer's SSN:
Marital Status:		Buyer's Phone:
Buyer's Address:		City:
State:	ZIP:

Is This A Mail Away?       Yes No

Financing Information

Conventional     Assumption     FHA     VA

 

Lender Name:		Address #:
Phone #::		Contact Name:

 

Additional Services

• WHICH OFFICE WOULD YOU LIKE TO HANDLE YOUR CLOSING?

• SURVEY: (THIS IS ORDERED AT LOAN APPROVAL)  WOULD YOU LIKE TO ORDER A SURVEY?  Yes No

• TERMITE INSPECTION (THIS IS ORDERED AT LOAN APPROVAL)  WOULD YOU LIKE US TO REQUEST THE INSPECTION?  Yes No


IF YES IS THERE A LOCK BOX?   Yes No
IS THE PROPERTY VACANT?        Yes No

• ESCROW DEPOSIT:  Deduct from Commission Provide Check At Closing

• HOME WARRANTY PROVIDED?  Yes No


PAYEE:

Comments:

Thank You for your Order!

Please print this form and call one of our offices for pickup or fax to us at our fax numbers below.

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Alday-Donalson Title Agency, Inc.

BRANDON * (813) 685-4576 * FAX (813) 654-6512		PLANT CITY * (813) 747-0014 * FAX (813) 747-0015
RIVERVIEW * (813) 676-0167 * FAX (813) 676-0168		LAKELAND * (863) 802-1470 * FAX (863) 802-1471

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Alday-Donalson Title Agencies of America, Inc.
CORPORATE * (813) 985-7006 * FAX (813 985-7229

TEMPLE TERRACE * (813) 988-2836 * FAX (813) 989-3647		ORLANDO * (407) 667-3456 * FAX (407) 667-3457
CARROLLWOOD * (813) 968-5170 * FAX (813) 968-7871		PASCO * (813) 948-4798 * FAX (813) 948-3108
KENNEDY * (813) 876-3771 * FAX (813) 874-2801		PORT RICHEY * (727) 815-0428 * FAX (727) 815-0791
MELBOURNE * (321) 727-0563 * FAX (321) 951-0341		NEW TAMPA * (813) 978-0480 * FAX (813) 971-4156
SEMINOLE * (727) 391-5955 * FAX (727) 391-4623		ST. PETERSBURG * (727) 323-2424 * FAX (727) 323-2626
SARASOTA * (941) 373-3804 * FAX (941) 373-3812		HERNANDO * (352) 688-7747 * FAX (352) 688-7757
BELLEAIR * (727) 501-9381 * FAX (727) 501-9417		SPRING HILL * (352) 684-2899 * FAX (352) 684-8801

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