Valley Title and Escrow Agency, Inc., dba Lawyers Title Agency of Delaware
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Valley Title & Escrow Agency, Inc., dba Lawyers Title Agency of Delaware Purchase or Sale Form
Order Requested By:
*
Phone
*
Fax:
Email:
*
First Buyer's Full Name:
*
Home Phone:
*
Work Phone:
*
Cell Phone:
Email:
Second Buyer's Full Name:
Home Phone:
Work Phone:
Cell Phone:
Email:
First Seller's Full Name
*
Home Phone:
*
Work Phone:
*
Cell Phone:
Email:
Second Seller's Full Name:
Home Phone
Work Phone:
Cell Phone
Email:
Listing Agent/Broker Name:
Email:
Office Phone:
Other Phone:
Fax:
Selling Agent/Broker Name
Email:
Office Phone
Other Phone
Fax:
Lender Name:
*
Contact
Email:
Office Phone:
Other Phone:
Fax:
Buyer's Insurance Agent's Name:
Phone:
Property Address:
*
City/Town
*
State
*
Please select
Select One
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
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Hawaii
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Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
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Mississippi
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Montana
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New Hampshire
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Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code:
*
County:
*
Contract Sale Price:
Earnest Money:
Estimated Closing Date
Seller's Current First Mortgage Lender Name:
Account Number:
Seller's Current Second Mortgage Lender Name:
Account Number:
Check:
Title Insurance/Title Policy
Check:
Survey/Plot Plan/Affidavit
Other:
Other
If other Please Specify:
Comments:
Valley Title and Escrow Agency, Inc., dba Lawyers Title Agency of Delaware