Buyer Information

OWEN TITLE COMPANY, INC., is excited about working with you on the closing of your transaction.

To make this smooth as possible, and to avoid numerous telephone calls, please take just a moment to fill in the following information:

^* Indicates a required field.

^*Buyer(s) Full Name:

^*Buyers Marital Status: Please Select... Single Married Divorced

^*Buyer(s) Phone Number
Home:  (###) ###-####
Work:  (###) ###-####

^*Is This A Mail-Away To The Buyer(s)?:  Yes  No

Mail-Away Address:

Phone Number For This Address:

^*Lending Institution:

Loan Officer:

Phone Number:  (###) ###-####

Real Estate Commission: %

Split
To Selling Agent: %
To Listing Agent: %

Survey Company:

Amount: $ Do not enter Dollar Sign ($) or Thousands separator.

 Collect  POC

Homeowner's Insurance Company:

Coverage Amount: $ Do not enter Dollar Sign ($) or Thousands separator.

Premium Amount: $ Do not enter Dollar Sign ($) or Thousands separator.

Contact Person:

 Collect  POC

*PLEASE REMIND THE BUYER TO BRING ORIGINAL INSURANCE POLICY TO CLOSING!*

Warranty Company:

Amount: $ Do not enter Dollar Sign ($) or Thousands separator.

Repairs To:

Amount: $ Do not enter Dollar Sign ($) or Thousands separator.

PLEASE BRING ORIGINAL INVOICES WITH ADDRESSES TO ENSURE PROMPT PAYMENT