The undersigned proposes to sell:
Address

Scheduled Closing Date:

Current Owner:

Buyers Full Name:

Name of Spouse:

Current Address of Buyer

Buyers email

Your email

Residency Intentions:
Year-RoundSeasonalOccasional
Comments

Emergency contact person with phone # (or your cell phone):

__________________________________________________
Number of Pets:

Type pet 1:

Weight pet 1:

Name pet 1:

Type pet 2:

Weight pet 2:

Name pet 2:

__________________________________________________
Other persons who will occupy the home with you:
Name 1:

Relationship:

Name 2:

Relationship:

___________________________________________________
Vehicle Information:
Make car 1:

Model car 1:

Year car 1:

Plate # car 1:

State car 1:

-----------------
Make car 2:

Model car 2:

Year car 2:

Plate # car 2:

State car 2:

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Note: Buyer's initials serve as electronic signature
Signature of Buyer:

Signed Date:

Signature of Buyer:

Signed Date: