YOUR ESCROW OFFICER (REQUIRED): Copy and paste the email of ESCROW OFFICER you want to send this form in the field below. Amber Wagner- Amber@only-escrow.com Marlen Videz- Marlen@only-escrow.com Jorge Lopez- Jorge@only-escrow.com Berenice Acevedo- Berenice@only-escrow.com Sylvie Torrence- Admin@only-escrow.com ESCROW OFFICER: (Copy and paste here the email of Escrow Officer from above) OPENED BY (YOUR NAME)(REQUIRED): FIRST NAME LAST NAME PLEASE CHOOSE RESIDENTIALCOMMERCIALBULK ONLYPURCHASELANDMOBILE HOMEHUDSHORT SALE PHONE NUMBER(REQUIRED): EMAIL(REQUIRED): SUBJECT PROPERTY ADDRESS(REQUIRED): STREET ADDRESS CITY STATE/PROVINCE POSTAL / ZIP CODE COUNTY TITLE COMPANY TITLE REP KEY DOCUMENTATION UPLOAD FEATURE SELLER SELLER NAME SELLER MAILING ADDRESS PHONE CELL EMAIL BUYER BUYER NAME BUYER MAILING ADDRESS PHONE CELL EMAIL FINANCIAL TERMS PURCHASE PRICE ..........$\ INITIAL DEPOSIT............$ DOWNPAYMENT AMOUNT........$ LOAN AMOUNT FOR BULK PURCHASE ONLY BUSINESS TYPE BUSINESS NAME BUSINESS ADDRESS COUNTRY LISTING AGENT LISTING AGENT NAME COMPANY PHONE CELL FAX EMAIL COMMISSION % SELLING AGENT SELLING AGENT NAME COMPANY PHONE CELL FAX EMAIL COMMISSION % PAYOFF INFORMATION - LENDER #1 LENDER #1 COMPANY LENDER #1 ACCOUNT NO. CURRENT BALANCE LENDER #1 CONTACT LENDER #1 PHONE LENDER #1 E-MAIL LENDER #1 ADDRESS STREET ADDRESS CITY STATE/PROVINCE POSTAL / ZIP CODE COUNTRY PAYOFF INFORMATION - LENDER #2 LENDER #2 COMPANY LENDER #2 ACCOUNT NO. CURRENT BALANCE LENDER #2 CONTACT LENDER #2 PHONE LENDER #2 E-MAIL LENDER #2 ADDRESS STREET ADDRESS CITY STATE/PROVINCE POSTAL / ZIP CODE COUNTRY BY PROVIDING THE ABOVE AFOREMENTIONED INFORMATION, YOU HAVE SUPPLIED US WITH ENOUGH INFORMATION TO OPEN ESCROW. PLEASE FEEL FREE TO CONTACT US IF YOU HAVE ANY QUESTIONS. A MEMBER OF OUR TEAM WILL CONTACT YOU TO OBTAIN ANY ADDITIONAL INFORMATION THAT MAY BE REQUIRED TO PROCESS THIS ESCROW. Δ