Offer Input Form -

Buyer #1 *

Date

Primary Address

City/State/Zip Code

Email Address *

Phone Number (optional)

Buyer #2 *

Date

Primary Address

City/State/Zip Code

Email Address *

Phone Number (optional)

Property Address:

Property Address *

City/State/Zip Code *

Notes:

Input:

OFFER AMOUNT $

DEPOSIT AMOUNT $

Check or Cashier Check

PRE APPROVAL/LETTER OF CREDIT:

YES

Loan Amount $

Type of Loan

Term

Interest Rate

REFERRAL AGREEMENT

Yes

SETTLEMENT DATE:

Other Important Dates:

Written Application and Commitment: Within How Many Days of Contract?

Home Inspection: Within How Many Days of Contract?

Other Important Dates:

Contingencies:

Financing

Inspection

Appraisal

Termite

Other

VENDOR - Packet:

LENDER:

Loan Company

Address

Phone Number

APPRAISAL:

Contact Name

Phone Number

TITLE COMPANY or Attorney:

Address

Contact Name

Phone Number

HOME INSPECTOR:

Contact Name

Phone Number

TERMITE COMPANY:

Contact Name

Phone Number

PEN FED MEMBER:

Member?

$295 fee waived in join PedFed Credit Union:

Will Join?

DISCLOSURE

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Mechelle Nichols

Offer Input Form

Mechelle Nichols