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Purchase Transaction Application


My name:

Company name: (if applicable)

My street address: (Line 1)

My street address: (Line 2)

My city:

My state:

My zip:

My Phone Number:

My Fax:

My email address:

On this transaction I am the:

Buyer's Attorney
Buyer
Lender
Lender's Attorney
Sellers Attorney
Broker

This transaction is a:

Residential Property
Commercial Property
Condominium
Co-operative Apartment

Type of Property:

1-4 family
Multi family
Commercial
Condominium
Co-op search with insurance
Co-op search without insurance


Address of Property

Number/Street:

City/State/Zip:

Section:
Block:
Lot:

Proposed Closing Date:

Purchase Price:

$

Amount of Loan (if any):

$

Buyer(s):

Attorney for Buyer(s):

Phone (Attorney for Buyer(s)):

If you are new to All County Abstract, please include your address


Seller(s):

Attorney for Seller(s):

Phone (Attorney for Seller(s)):


Lender Name:

Lender Address:

Attorney for Lender:

Survey:

I have a survey
Please locate a survey
No survey required on condo or co-op purchase


Additional Report Name:

Additional Report Address:

Additional comments or notes: