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Alabama Refinance

SELLER INFORMATION

First Name*

Last Name*

Phone*

Email*

Fax

SELLING AGENT INFORMATION

Selling Agents Name

Selling Company Name

Agents Phone

Seller Agents Email

BUYER AGENT INFORMATION

Buyer Agent Name

Buyer Agent Commission

Buyer Agent Company

Buyer Agent Phone

Buyer Agent Email

BUYER INFORMATION

Buyer Name or Names

Type of Transaction
Cash
Mortgage
Other

PROPERTY INFORMATION

Sale Price
(example as "$250,000")

Earnest Money Deposit

Address 1 (*)

Address 2

City (*)

State (*)

Zip (*)

Transaction Type (Check all that apply)
Refinance
Retail Purchase
REO
Short Sale
Deed-in-Lieu

Special Instructions/Comments (*)

Attachments
Please attach MLS printout with MLS Number

OPTIONAL INFORMATION

Tax PPIN #

Deed Reference #

Mortgage Reference #

MLS Reference #

Please Enter Numbers
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