order form testing | First Choice Real Estate Services, LLC

Client information

Transaction Type *

Buyer/Borrower *

Provide borrower names as they should appear on title.

YES

Add second buyer/borrower

Seller

YES

Add second seller

Property Information

Property Address *

Address Line 1

Address Line 2

City

State

Zip Code

County/Parish *

Agent Information

Agent information not needed

If you have selected "refinance" or "equity", agent information is not required. Please continue on to the next page.

Listing Agent Name

Listing Agent Company Name

Listing Agent Phone

Listing Agent Email

Selling Agent Name

Selling Agent Company Name

Selling Agent Phone

Selling Agent Email

Mortgage Information

Lender Name

Loan Number

Address

Address Line 1

Address Line 2

City

State

Zip Code

Mortgagee Name

Mortgagee Address

Address Line 1

Address Line 2

City

State

Zip Code

Loan Information

Loan Amount

Contract Sales Price

Earnest Money

Held/Received By

Transaction Information

Estimated Closing Date

Marketing Source

Other Information

Your Name *

Your Email *