Proposal To Purchase

Purchase Price:

Property Address:

Town:

State:

Zip:

Does your buyer have a home to sell?:
---YesNo

Financing:
FHAVAConventionalOther

Buyer Legal Names:

Buyer Address:
Street:

State:

Town:

Zip:

Mortgage Amount: (required)

Settlement Date:

Settlement Location:

Inclusions:

Other remarks:

Initial Deposit:

Balance due at Settlement:

Name of Buyer’s Agent firm:

Name of Licensee:

Presenting Agency Address:
Street:

Town:

State:

Zip:

Agent Name:

Agent Cell #:

Agent Email:

Listing Agent: Mark McKenna

Co-Listing Agent:
---NoneJeff AmsdenLauren SchmidtLucie NowickiDana GrigoreNick VersaggiKarli CinelliAmanda SigwartMichelle TierneyMaci NormanDon AntonelliShealyn Coyle

Office License Number:

Which Real Estate Group/Team Do You Represent? Ex: “John Doe Team with Remax”