Real Estate Conveyancing Buyer Order Form

Email:

Your Name:

Office #:

Cell:

Your Company:

Fax:

**Note: If I have worked with you before, you do not have to fill in all your contact
information again. Thank you.

File Type:

Execution Date:

Property:

Settlement Date:

Please forward the full A/S & MLS Sheet after submitting this form.
Please also send either the Seller's Authorization or the Affiliated Business Dis.

Commission Information:

Would you like to add a seperate
Transaction Coodinator Fee to the
HUD or pay by check?

Selling Agent Commission:

Buyer Broker Service Fee:

Client Contact Information:

Client 1:

Client 2:

Mailing Address:

Phone:

Email:

SS#:

Source of Client:

Will Buyer Occupy
Property?

Co-op Agent Information:

Email:

Name:

Company:

Fax:

Cell:

Phone:

Lender Information:

Title Company:

Order Title?

Forward A/S to
Lender?

Company:

Contact:

Phone:

Fax:

Send copy of title to buyer?

Email:

Inspection Company Information:

Company:

Phone:

Tests:

Inspections the buyer is having:

Would you like TC to order
Inspections?

Will you be attending inspections?

Settlement:

Use & Occupancy:

Property Access Information: Lockbox Type:

Place (if buyer file):

Home Warranty: Should
TC Order a Home Warranty?

Would you like TC to handle the
2nd Deposit?

If Yes, through which Home
Warranty company should it
be ordered?

Are there any referrals involved
with this transaction? If yes,
please specify exactly how
commission is to be split.

What options should be
ordered, if any, with the
Home Warranty?

Additional Notes:

By pressing submit I understand that I am authorizing TC Business Management LLC to begin
processing this file. At minimum, a $75 fee will be charged. I also agree that I have entered all the
required information as noted above and therefore TC Business Management will not be responsible
for gathering any of the information.