Joseph B. Miller, ESQ. Attorney At Law  
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New Purchase Order Form

Please provide us with as much detail of the following information as possible and fax a copy of the sales contract & addendums to 561.828.0953.  These will be required for closing.

 

Estimated Closing Date
Purchase Price
Loan Amount(s)
Property Address
City
State
Zip
County
Legal Description or Folio/Parcel ID #
Buyer/Borrower
SS#
Buyer/Borrower
SS#
Phone #(s)
Work #
Marital Status
Marital Status Other
Seller
SS#
Seller
SS #
Phone #(s)
Work #
Marital Status
Marital Status Other
Selling Realtor
R/E Office
Phone #(s)
Fax #
Listing Realtor
R/E Office
Phone #(s)
Fax #
HOA/Condo Association Name/Info
Phone #(s)
Fax #
Insurance Agent Name/Info
Phone #(s)
Fax #
Exisiting Mtg Payoff Info/Loan #
Phone #(s)
Fax #
Exisiting Mtg Payoff Info/Loan #
Phone #(s)
Fax #
Mtg Broker Name
Broker Office
Phone #(s)
Fax #
Lender
Mortgagee Clause
ISAOA/ATIMA
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Joseph B. Miller, ESQ. Attorney At Law
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Joseph B. Miller, Esq. Attorney At Law     1515 S. Federal Hwy Boca Raton, FL 33432      Tel (561) 395-3740 | Fax (561) 828-0953