3710 Peavine Road, Suite 102 REQUEST FOR TITLE WORK / CLOSING SERVICES
Crossville, TN 38571
Fax: 931.456.6109
Phone: 931.456.9809 or 931.456.4071
D ate: Closing Date:
Realtor (Seller’s Agent):
Phone: Fax/Email:
P roperty Address: City Taxes: □ Yes □ No
Subdivision: Tax ID Number:
C urrent Deed Reference: Plat Reference:
Buyer Marital Status: □ Single □ Married □ Divorced □ Widowed
Address for Tax Bills and Documents:
Mail away to Buyer(s):
Seller’s Information:
Seller Marital Status: □ Single □ Married □ Divorced □ Widowed
Address:
Phone: E-mail:
Social Security Number(s):
1st Mortgage Payoff info: Ph# Loan #
2nd Mortgage or HELOC Payoff info: Ph # Loan #
Mail away to Seller(s):
Earnest Money Amount:
Financed:
Lender: Loan Amount:
Pest Inspection Company: Amount:
Sale’s Price:
Commission: Split:
Comments:
PLEASE FAX THIS COMPLETED FORM TO J D LAND TITLE, INC. AT 931-456-6109 OR SAVE IT AND EMAIL TO [email protected]
THANK YOU FOR YOUR BUSINESS!
Tags: peavine road,, peavine, request, suite, title