Online Escrow Form for Real Estate Purchase

    Transaction Information

    Opened by

    Time Limit*

    Title Company*

    Paid outside escrow

    Cash through escrow*

    T/D (of/to) Record*

    T/D (of/to) Record*

    TOTAL CONSIDERATION*

    Property Address*

    Seller*

    Phone

    Buyer*

    Phone

    Buyer's Vesting

    Husband & WifeSingleUnmarriedMarried

    Spouse's name

    Lender

    Phone

    Lender Address

    Agent Information

    Listing Agent: License #

    Phone

    Commission Amount

    Address

    Selling Agent: License #

    Phone

    Commission Amount

    Address

    Proration & Contract Information

    Prorate (Check all applicable)

    TaxedInterestInsuranceLease DepositsRentsImpounds

    Termite / Clearance (Check all applicable)

    NoneAccessible Areas OnlyReportHouse OnlyNotice of CompletionHouse and GarageOtherAll Buildings

    Party Responsible for Payment

    Home Warranty Policy

    Amount not to exceed

    Party Responsible for Payment

    Mandatory Hazard Disclosure

    Party Responsible for Payment

    Payoffs

    Buyer or Seller Contingency

    Your Email Address

    Email Address*

    Notes & Additional Items

    File Attachment Area

    Attach a file

    Inland Empire Escrow

    Main Office - Inland Empire
    Linda M. CooperKerry CisnerozAshley GreenAdam LinamenAdriana OrtizKimberly A. Hohberg

    Hospitality Branch – San Bernardino and Redlands
    Susan Schaferv

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