Real Estate Buyer Form

REAL ESTATE BUYER FORM

This Real Estate Buyer Form is submitted for the purpose of documenting the Buyer’s identity, financial qualifications, property of interest, proposed purchase terms, disclosures, contingencies and acknowledgements. Completion and signature of this Form does not alone create a binding purchase contract except where expressly stated below; however the representations and authorizations contained herein are true and correct to the best of Buyer’s knowledge.

Buyer Identification

Individual    Corporation    LLC    Other

Property Identification

Proposed Purchase Terms

Financing contingency: Buyer requires mortgage financing as a condition of closing. If checked, describe financing terms and deadlines below.

Inspection period: Buyer requests an inspection period of days, with inspection objections to be delivered to Seller by .

Disclosures

Has Seller provided notice or documentation of known lead-based paint or hazards? Yes No

Known mold or fungal contamination? Yes No

Prior structural or water damage disclosed? Yes No

Property located in flood, landslide, or other known environmental hazard area? Yes No

Inspections, Repairs and Title

Title and escrow: Buyer requires issuance of merchantable title by closing and a title report no less than days prior to closing. Survey required: Yes No

Default, Remedies and Remedies

If Buyer fails to perform under a subsequently executed purchase contract, Seller may exercise all remedies available under contract and law, including retention of earnest money as liquidated damages where such remedy is specified. If Seller fails to convey marketable title or otherwise breaches, Buyer’s remedies shall include specific performance or recovery of actual damages, at Buyer’s election. The parties agree that any limitations on damages, remedies or attorney fees must be expressly stated in a separate purchase agreement.

Representations, Governing Law, Entire Agreement

Buyer represents and warrants that all information supplied on this Form is true and complete, and that Buyer is authorized to execute and submit this Form. This Form and any subsequently executed purchase agreement shall be governed by the substantive law of the state in which the Property is located. This Form, together with any executed purchase agreement, constitutes the entire understanding between the parties with respect to the subject matter and supersedes prior communications, whether oral or written, except to the extent parties expressly agree in writing to modify.

Certifications and Acknowledgements

Buyer acknowledges that submission of this Form creates obligations only as expressly set forth herein. Buyer authorizes Seller, Seller’s agent, and any designated third parties to obtain verification of Buyer’s financial information for purposes of evaluating the proposed transaction. Buyer agrees to disclose material changes to the representations on this Form prior to closing.

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