Republic Abstract & Settlement, LLC in Cedar Rapids, Iowa Is Your One Stop For Abstracting and Closing Settlement Services

Use this form for Closing Services.

ESCROW INSTRUCTION

FROM
E-MAIL ADDRESS
CLOSING DATE
PROPERTY ADDRESS	(address, city, state, zip)
PURCHASE PRICE	$
EARNEST MONEY	$

COMMISSION INFORMATION
TOTAL COMMISSION	% or FLAT FEE
LISTING SIDE
SELLING SIDE
LISTING SIDE:
REFERRAL	YES NO
AGENT NAME
AGENT'S COMPANY
AGENT'S OFFICE PHONE
AGENT'S CELL PHONE
SELLING SIDE:
REFERRAL	YES NO
AGENT NAME
AGENT'S COMPANY
AGENT'S OFFICE PHONE
AGENT'S CELL PHONE

SELLERS INFO
SELLERS NAME(S)
FORWARDING ADDRESS	(address, city, state, zip)
CURRENT HOME PHONE
WORK/CELL PHONE
MARITAL STATUS
ATTEND CLOSING?	YES NO
ATTORNEY FOR DEED:
ATTORNEY NAME
WILL ATTORNEY PARTICIPATE IN GETTING DEED SIGNED?	YES NO
SELLERS MORTGAGE PAYOFF AT
PHONE
LOAN #
OTHER OUTSTANDING LOANS & #s

BUYERS INFO
FULL NAME(S) FOR DEED
CURRENT ADDRESS	(address, city, state, zip)
CURRENT HOME PHONE
WORK/CELL PHONE
DOES BUYER INTEND TO OCCUPY PROPERTY?	YES NO
MARITAL STATUS
ATTEND CLOSING?	YES NO
BUYER'S ATTORNEY NAME
BUYER'S LENDER
BUYER'S LOAN OFFICER
PHONE

MISCELLANEOUS INFO
TERMITE INSPECTION PREFERENCE
HOME OWNER WARRANTY?	YES NO
WARRANTY PAID BY
COST OF WARRANTY	$
ABSTRACT LOCATION
AGENT'S COMMENTS