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TC Order Form
This form is to supplement the contract. Please send the executed contract to your TC to complete the order. 
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Email *
Name of Agent Submitting Form
I am...
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Transaction Coordinator
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Property Address
Type of Sale
If PA property with HOA, please provide HOA information (Association Name, phone number, email address)
Start of Attorney Review (for NJ)
MM
/
DD
/
YYYY
Co-Op Agent Contact Info (if it differs from the contract). Please also provide their assistant or TC info, if applicable.
Your Client's Contact Info. (name, email, cell) #1
Your Client's Contact Info. (name, email, cell) #2
If a listing, do seller(s) have a mortgage on the property?
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If FHA financing, is there a grant involved?
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Lender Information (contact + email address)
Buyer's Title Agent Information (contact + email address)
Seller Side Title Processor Information (contact + email address)
Attorney Information (contact + email address)
Will there be a Leaseback after settlement?
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Commission % or $ *
Is this a referral? (external)
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Referral Information (%, Agent name, email address)
Is there a team split? (%, Team Member) (applicable if team members on deal)
Would you like an OPRA request submitted?  If yes, is there anything you would like specifically requested?
Additional Information
A copy of your responses will be emailed to the address you provided.
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