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Property Purchase Order Form
Property Order Form includes contact information, property holder and other legal information of the property
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1
Your Name
1
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2
Your Company
2
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3
Your E-Mail
3
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4
Your Phone
4
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5
Selling Agent Name
5
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6
Listing Agent Name [if different]
6
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7
Realty Company
7
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8
Listing Realtor Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
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Liberia
Libya
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Lithuania
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Macau
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Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
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Mayotte
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Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
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Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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9
Phone Number
Area Code
Phone Number
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10
Who is in title to the property?
8
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11
Property Address
9
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12
Legal Description of property
10
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13
Name of Homeowner's Association
11
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14
Phone No. for Homeowner's Association
12
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15
Are all parties still living and capable of signing documents for the sale?
Yes
No
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16
List any deceased owner[s] and date[s] of death
13
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17
Will a Power of Attorney be needed for closing?
Yes
No
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18
Is there a Trust involved?
Yes
No
If Yes, please provide copies
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19
Trust copies
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14
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20
Is this a short sale?
Yes
No
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21
Is the seller currently involved in Bankruptcy?
Yes
No
If Yes, please provide copies
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22
Is the seller currently involved in Foreclosure?
Yes
No
If Yes, please provide copies
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23
Is the seller currently involved in Divorce?
Yes
No
If Yes, please provide copies
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24
Bankruptcy, Foreclosure or Divorce copies
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Max. file size
: 10.0MB
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15
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25
Are there any outstanding mortgages?
Yes
No
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26
If yes, list the company name[s] & loan number[s]
16
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27
List last 4 of seller[s] social security number
17
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28
Will all parties be attending the closing?
Yes
No
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29
Does your customer have a valid driver's license or photo I.D.?
Yes
No
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30
Sales Price
18
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31
Type of transaction
Sale-Cash
Sale - New Mortgage
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32
Will Rowland Title be preparing the deed?
Yes
No
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33
Will Rowland Title be ordering a survey?
Yes
No
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34
If yes, list preference in surveyor:
19
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35
Name of buyer[s]
20
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36
How do buyer[s] want to hold the title?
21
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37
Name
22
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38
Contact Information
23
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39
Loan Amount
24
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40
Additional Information You Would Like to Share?
25
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41
Please Select Person Ordering Title Work
Please Select
Listing Agent
Selling Agent
Other
Please Select
Please Select
Listing Agent
Selling Agent
Other
26
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42
If Other Please List
27
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43
Full Name
First Name
Last Name
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44
Company
28
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45
Phone Number
Area Code
Phone Number
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46
E-mail
29
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47
Enter the message as it's shown
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