People´s Home Mortgage Corporation

Buyer Full Name *

Buyer ID Type * Choose…SSNPassportITIN

Buyer SSN / Passport # *

Buyer Email *

Buyer Phone *

Buyer Current Address

Seller Full Name

Seller ID Type Choose…N/ASSNPassportITIN

Seller SSN / Passport #

Seller Phone

Seller Email

Property Address *

City *

ZIP Code *

County

Folio Number *

Type of Home * Choose…Single FamilyCondominiumTownhouseMulti-FamilyMobile/ManufacturedVacant LandOther

Year Built

Legal Description

Offer Purchase Price (USD) *

Initial Escrow Deposit (USD) *

Initial deposit within (days)

Additional Deposit (USD)

Additional deposit within (days)

Financing Type * Choose…ConventionalFHAVAUSDACashOther

Loan Amount (USD)

Down Payment (USD)

Financing Contingency * Choose…YesNo (Cash)

Loan Approval Period (days)

Effective Date

Inspection Period (days) *

Title Closing Date *

Occupancy Choose…At ClosingOther

Additional Terms / Comments

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