Order Submitted By:

Name:

Company:  

Phone: 

Fax:

Email:

Please Mail or Fax a copy of the Sales Agreement to Marlin.

Property:

Address:

Legal Description:

Parcel / Folio #

Seller(s):

Name:

(as title is held)

Buyer(s):

Name: 

 (as title is being transferred)

Marital Status:   Single     Married     Divorced

SS #     SS#

Transaction:

Sale    Refinance     

Closing Date:

Sale Price:

Lender:

Amount of Loan:

Existing Mortgages/Liens to be Paid off:

Order:  Survey     Termite      Insurance 

Remarks: