Order Information     Ordered By:   Office Phone:   E-Mail:         Preferred Close Location Preferred Close Location:   Preferred Close Date:   Preferred Close Time:   We will confirm with you whether this date and time are available       Property Type     Commercial Property Residential Property   Transaction Type     For purchases, please send us a sales contract via fax or email within 12 hours of this order Purchase Cash Purchase Refinance 2nd Mortgage HELOC Will there be secondary financing? (example: 2nd mortgage along with a first mortgage) I don't know Yes No     Property Information     Street:   City:   State:   AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip:   County:   Land Lot:   Block:   Subdivision:   Unit/Phase:   If there is a mobile home on this property, please do not use this form. Please call the office to schedule a closing.       Buyer Information     BUYER/BORROWER 1   First Name:   Last Name:   Home Phone:   Cell Phone: Office Phone: BUYER/BORROWER 2     First Name:   Last Name:   Home Phone:   Cell Phone:   Office Phone:         Seller Information     SELLER 1     First Name:   Last Name:   Home Phone:   Cell Phone:   Office Phone:   SELLER 2     First Name:   Last Name:   Home Phone:   Cell Phone:   Office Phone:         Realtor Information     LISTING REALTOR     Company:   First Name:   Last Name:   Cell Phone:   Office Phone:   Office Fax:         SELLING REALTOR     Company:   First Name:   Last Name:   Cell Phone:   Office Phone:   Office Fax:         Loan Information     LOAN OFFICER     Lender:   First Name:   Last Name:   Office Phone:   Office Fax:         Notes/Special Requests:                  ©2007 Hartman-Imbriale, LLP. All Rights Reserved. Legal Disclaimer Website Designed by: Hardline Design

Serving clients for 18 years in Cherokee, Cobb, Fulton, DeKalb, Gwinnett, Clayton, Bartow, Pickens counties, including Towne Lake, Woodstock, Sandy Springs, Canton, Kennesaw, Marietta, Roswell, Acworth, Cartersville, Jasper.

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