TITLE REPORT – PURCHASE Note: please fill in the information bellow, click here to get help. Application Information Applicant* Buyer's AttorneySeller's AttorneyLenderLender's AttorneyBuyerBroker Full Name* Email* Phone* General Information Purchase Price Loan Amount Proposed Closing Date: Buyer(s) Seller(s) Premises Address Block Lot Type of Property: Residential 1-4 FamilyCondominiumVacant LandCommercialCo-op Buyer's Attorney Name Firm Address Telephone Fax: Email Seller's Attorney Name Firm Address Telephone Fax Email Lender's Attorney Name Firm Address Telephone Fax Email Lender Name Address Additional Report Name Address Survey Applicant to SendOrder New SurveyLocate Existing SurveyNo Survey Required (condo/co-op) Additional Information If this is a sale by the sponsor, will the transfer taxes be paid by the purchaser? YesNo Does this development contain 10 or more units? YesNo Is this a Short Sale? YesNo Special Instructions I would like the title report electronically mailed to the email address supplied above. (a hard copy of the title report will NOT be mailed) Yes! I’d like to subscribe for email newsletters and event notices.