Fill and Sign the Property Questionnaire Form

Real Estate – Residential Lot Contract Questionnaire Transferee’s full name:       Street address:       City:       State :       Zip:       County:       Birth date:       Social Security Number:       Home phone:       Work phone:       ext.       Cell/pager:       E-mail:       Transferor’s full name:       Street address:       City:       State :       Zip:       County:       Birth date:       Social Security Number:       Home phone:       Work phone:       ext.       Cell/pager:       E-mail:       Property Address:       City:       State:       Zip:       County:       Legal Description:       Zoned as:       Lot size:       Certified Appraised Value:       Appraiser:       Purchase Price:       Retained items:       (example: satellite dish, pool equipment, stove) Property Condition:       Warranty:       (state terms, and describe specific parts (i.e. foundation, roof, etc.) Yearly Taxes:       Property information:       (right of ways, current leases, liens, homestead, flood insurance required, ect.) Please disclose any defects on the property:       If the lot won’t be sold together with all fixtures and attachments to the land, describe anything to be excluded:       Water is provided to the property by       , Sewer is provided by       . Gas is provided by       . Electricity is provided by       . Other:       Does the transferor know of the existence of wetlands, shore land, or flood plain on or affecting the real property? Yes No If yes, please describe:       Does the transferor know of any hazardous substances or petroleum products having been placed, stored, or released from or on the real property by any person in violation of any law, nor of any underground storage tanks having been located on the real property at any time? Yes No If yes, please describe:       Costs are to be paid as follows: Purchase Price $       Earnest Money $       New Loan $       Assumption of Loan $       Seller Financing $       Cash at Closing $       Total $       Terms of payment are to be: CASH SALE: This contract is not contingent on financing. OWNER FINANCING: Seller agrees to finance       dollars of the purchase price pursuant to a promissory note from Buyer to Seller of $       , bearing       % interest per annum, payable over a term of       years with even monthly payments, secured by a deed of trust or mortgage lien with the first payment to begin n the       day of       , 20       . NEW LOAN OR ASSUMPTION: This contract is contingent on Buyer obtaining financing. Title shall be conveyed to Buyer, if more than one as joint tenants with rights of survivorship, tenants in common, other Closing Costs Buyer Seller Both* Attorney Fees Title Insurance Title Abstract or Certificate Recording Fees Appraisal Survey If contingent on rezoning, cost and expenses of rezoning Other:                               All other closing costs * 50/50 between buyer and seller. The closing of the sale will be on or before:       Mortgage company:       Mortgage contact name and phone number:       May this contract be assigned? Yes No If yes, by transferee and/or transferor Limitations on assignment, if any: