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Purchase/Sale Order Form Date: ________________ Ordered by:__________________Phone:______________ Company:____________________Fax:________________
Listing Agent:_________________________Phone:___________________ Company:______________________Fax:_____________________ Selling Agent:_________________________Phone:___________________ Company:______________________Fax:_____________________ Loan Officer:________________________Phone:___________________ Company:______________________Fax:_____________________ Owner:________________________SSN:_________________ Owner:________________________SSN:_________________ Property Address: Street:________________________________________ City:__________________State:____ZIP____________ Tax ID Number:________________________ Sales Price:$____________________ New Loan Amount:$______________ Endorsements: 8.1 100 116 PUD 6.0 ARM (Please Circle) Are there water shares/water rights/well water rights involved? ___ yes ___ no If so, please fill out the following: Which water company is involved? _______________________ How many shares? ___________ Claim number? ______________ Please fax a copy of the REPC or applicable purchase agreement with this order. Thank you! Other Instructions:_______________________________ _______________________________________________ _______________________________________________ Please fill in all appropriate blanks and fax to the appropriate office. Thank you very much for using our website and we will be in contact with you soon!
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