Your Independent Escrow

Online Application

 Welcome to American Independent Escrow, Inc.

   Sale Form Online Application.

 Please answer and complete the following, that is relating to your Escrow. An American Independent Escrow officer will contact you shortly after your application has been submitted.   





  

 

     Escrow Officer:



             Gladys Izquierdo


 

 


  

 COE Date:



 Possession:

 

 Property Address:

 APN:


 Purchase Price:

  

 Deposit To Escrow:



   

 Seller:

 Seller:




 Seller Address:

City:


 State:

 Zip:



 Seller Home Phone #

 

 Seller Cell Phone #


 Seller Paperwork:


        Mail Directly To Seller






      Give To Listing Agent

   

 Buyer:

 Buyer:


 Buyer Address:

 City:

State:

Zip:


 Buyer Paperwork:


       Mail Directly To Buyer




         Give To Selling Agent

Will Buyer Occupy The Property?

  Yes                  No


If No, Please Enter The Buyer Mailing Address:


   

 Existing 1st Lender:


 Existing 2nd Lender:


Phone #:

Phone #:


Loan #:

Loan #:


 Short Sale:


         Yes                  No


 
   

 Buyer's Loan Broker/Lender:

 Phone #:


Address:

City:


State:

Zip:



 Contact:



Email:

Loan Type:


 FHA                               CONV.

      VA                         

Other:


   

 Seller Concessions:



Closing Cost: $


Late Close Penalty: $

 Other: $

 Repairs: $


Contingencies:


As Is:   



   

 Title Company:

 Rep. To Credit:


 *FOR ALL CASH TRANSACTIONS*

Will Buyer Pay Premium At Close Of Escrow?:

  Yes                       No


 HOA:

 Monthly Dues: $


MGT CO:

Phone #:

Septic Certification:

  Yes           No

Well Certification:

 Yes           No


 Termite Report/Clearance:

  Yes                  No

OR

Termite Report ONLY

 Yes                       No

 Section 1 Paid By:

 Section 2 Paid By:


Home Warranty:

 Yes                No

Not To Exceed:

Not To Exceed:


Paid By:


Natural Hazard:

  Yes                 No


 Escrow To Order:

  Yes              No


Company:

 
   

 Listing Agent:

 Commission % or $:

 Office:

 Address:

 City:

 State:

 Zip:




Selling Agent:

Commission % or $:

Office:

Address:

City:

State:

Zip:



 Listing Agent:

 Phone #:

 Email:

 TC:

 Notes:


 

Selling Agent

Phone #:

Email:

TC:

Notes:



Thank you for filling out our online app.

 
American Independent Escrow, Inc.

23580 Sunnymead Blvd., Ste. 200
Moreno Valley, California 92553

(951) 443-5200
FAX (951) 247-2122

 

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