2. Property Address:
4. Tax ID/ Parcel #:

8. BUYER INFORMATION

10. Name of Buyer:
12. Mailing Address:
14. Street Number
15. Street Name
16. Street Type
17. Apt #
19. City
20. State
21. Zip
23. Phone #:
24. E-mail:

26. Intended Use of Property:

28. Primary Residence:

    1. Yes

    1. No
29. Rental Property:

    1. Yes

    1. No
31. Other Use - Please specify

35. SELLER INFORMATION

37. Name of Legal Owner (s):

    (as recorded at County Recorder's Office)

39. Mailing Address:
41. Street Number
42. Street Name
43. Street Type
44. Apt #
46. City
47. State
48. Zip
50. Phone #:
51. E-mail:
53. Date of Contract:
    Date of Contract:

55. A Copy of the Contract Must be Provided

Leave This Blank:


57. 1. Receive an email copy of this form.
58. Email address

    This field is not part of the form submission.

59. Submit

* indicates a required field