Lincoln, NE 434-3737
Beatrice, NE 223-2395
Seward, NE 643-6228
800-554-1215
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General Information
Closing Date:
Date Commitment Needed:
Ordered By:
Address:
City:
State:
ZIP:
Phone:
Fax:
E-mail:
Legal Description:
Property Address:
City:
State:
ZIP:
Property Type:
Residential
Multi-Family
# of Units
Lot/Land
# of Acres
Commercial
Seller/Owner #1
Name:
Address:
City:
State:
ZIP:
Home Phone:
Office Phone:
Seller is a:
Corporation
Limited Partnership
General Partnership
Limited Liability Company
Married
Single
Seller/Owner #2
Name:
Address:
City:
State:
ZIP:
Home Phone:
Office Phone:
Buyer #1
Name:
Address:
City:
State:
ZIP:
Home Phone:
Office Phone:
Buyer is a:
Corporation
Limited Partnership
General Partnership
Limited Liability Company
Married
Single
Buyer #2
Name:
Address:
City:
State:
ZIP:
Home Phone:
Office Phone:
Loan Information
Sale Price:
Loan Amount:
Lender:
Address:
City:
State:
ZIP:
Phone:
Fax:
E-mail:
Loan Officer:
Type of Loan:
VA
FHA
CONV
Construction
Permanent
Refinance
Reverse Mortgage
Other
Endorsements:
EPA
ALTA9
PUD
ADJ
Location
CONDO
Balloon
Survey
Zoning 3.0
Zoning 3.1
Other
Survey:
Yes
No
Inspections:
Termite
Yes
No
Furnace
Yes
No
A/C
Yes
No
Whole House
Yes
No
Structural
Yes
No
Special Instructions:
Commitment Copies:
Copies of special exceptions needed?
Yes
No
Listing Agent:
Address:
City:
State:
ZIP:
Selling Agent:
Address:
City:
State:
ZIP:
Lender:
Address:
City:
State:
ZIP:
Closing Officer:
Address:
City:
State:
ZIP:
Buyer:
Address:
City:
State:
ZIP:
Seller:
Address:
City:
State:
ZIP:
Attorney:
Address:
City:
State:
ZIP:
