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Under Contract Buyer Form

MANTLE REALTY

"*" indicates required fields

Are you Representing Buyer Or Seller?

Buyer

Seller

Seller 1

First Last

Seller 2

First Last

Buyer 1

First Last

Buyer 2

First Last

Address of Property Purchasing

Street Address City ZIP Code

Purchase Price

Due Diligence Fee

Type of Due Diligence Money

Cash

Personal Check

Bank Check

Wire Transfer

Electronic transfer

Electronic Transfer Company

Initial Earnest Money

Type of Initial Earnest Money

Cash

Personal Check

Bank Check

Wire Transfer

Electronic Transfer

Earnest Money Delivered

Within 5 Days

by Effective Date

Additional Earnest Money

Type of Additional Earnest Money

Cash

Bank Check

Wire Transfer

Electronic Transfer

Additional Earnest Money Date

MM slash DD slash YYYY

Balance

Escrow Agent

Due Diligence Period

MM slash DD slash YYYY

Settlement Date*

MM slash DD slash YYYY

Is Buyer getting a Loan?*

Yes

No

What type of Loan

Conventional

FHA

VA

USDA

Other

Other Loan Type

Water Supply Sources

City County Water

Community System

Private Well

Shared Well

Other

No Representation

Is there an HOA?

Yes

No

Name(s) Going On Deed

Closing Cost Paid by Seller

Home Warranty

No Home Warranty

Buyer May Obtain

Seller Obtained Warranty

Buyer obtained Warranty Amount

Warranty Amount if Seller getting

Buyer 1 Email*

Buyer 1 Phone Number*

Seller 1 Email*

Seller 1 Phone Number*

Buyer 2 Phone Number

Buyer 2 Email

Seller 2 Phone Number

Seller 2 Email

Agent Info

Buyer's Agent

First Last

Buyer Agent's Email

Buyer Agent Phone

Buyer Firm Name

Listing Firm Name

Listing Agent

First Last

Listing Agent Email

Listing Agent Phone

Are you using a transaction coordinator for this transaction?*

Yes

No

Transaction Coordinator's Name

First Last

Transaction Coordinator's Email

Other Notes for Transaction Coordinator

Lead Source

Sign

Office Lead

Expired/Withdrawn

SOI

Desk Duty

Previous Customer

Open House

Personal Referral

Corporate Referral

Prospecting

REO Account

Website

Farming

MLS

Direct Mail

Floor Time

Door Knocking

Relocation Department

Drip Marketing

Call Capture

Other

Office Lead

No

Yes

Listing Commission Percentage

Listing Commission Total

Buyer Commission Percentage

Buyer Commission Total

What All Inspections and Services are we Doing for this property?

Closing Attorney

Lender

Home Warranty

Home Inspection

HVAC Inspection

Pool/Spa Inspection

Radon Inspection

Septic Inspection

Well/ Water Inspection

Wood/ Pest Inspection

Re-Inspection

Property Insurance

Survey

What Inspections will your Home Inspector Provide?*

Home Inspection

Radon

Wood/Pest Inpection

Well/Water

HVAC

Pool/Spa

Septic

Other than the Home Inspection

Attorney's Name*

Name

Attorney Email*

Lender's Name*

Name

Lender's Email*

Home Warranty Provider*

Name

Home Warranty Provider Email*

Home Inspector*

Name

Home Inspection Provider Email*

HVAC Inspector*

Name

HVAC Inspection Provider Email*

Pool/Spa Inspector*

Name

Pool Spa Inspection Provider Email*

Radon Inspector*

Name

Radon Inspector's Email*

Septic Inspector*

Name

Septic Inspection Email*

Well/Water Quality Inspection Provider

Name

Well/Water Quality Inspection Provider Email*

Wood/Pest Infestation Inspection Provider*

Name

Wood/Pest Infestation Inspection Provider Email*

Property Insurance Provider*

Name

Property Insurance Provider Email*

Survey Provider*

Name

Survey Provider's Email*

OTP File for Lender and Attorney

Max. file size: 50 MB.

Agent Skyslope Email

Do You Want The Awesome Automatic Emails to go out to Notify all the vendors in the transaction? Or Do you hate automation and want to waste time and send everything yourself?

Sent Em

No I'm not a fan of saving time and energy.

Δ

High Point

2212 Eastchester Dr
High Point, NC 27265

336.939.6683

Kernersville

202 W Mountain St
Kernersville, NC 27284

336.850.1555

Lexington

7224 Old U.S. Hwy 52
Lexington, NC 27295

336.600.1052

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