Purchase Order Form

Applicant
Name

Firm

Address

City

State

Zip

Email

Phone

Fax



Submitted By
Buyer's AttorneyLender's AttorneySeller's AttorneyBuyerLenderBroker
Purchase Price

Loan Amount

Proposed Closing Date

Buyer(s) Name

Seller(s) Name

Premises
Address

City

State

Zip

Section

Block

Lot


Type of Property
ResidentialCommercial

Property Description
 1-2 Family 3 Family 4-6 Family 7+ Family

Other Types of Property
 Condominium Co-op WITH Insurance Co-op WITHOUT Insurance All Other Types

Purchaser's Attorney
Name

Address

City

State

Zip

Email

Phone

Fax

Seller's Attorney
Name

Address

City

State

Zip

Email

Phone

Fax

Survey Information
Survey
Applicant to SendLocate Existing SurveyOrder New surveyNo Required (condo/co-op)

Sponsored Sale?
 Yes No

Purchaser Paying Transfer Taxes?
 Yes No Other

Lender
Name

Address

City

State

Zip

Bank Attorney Information
Name

Address

City

State

Zip

Email

Phone

Fax

Notes