Buyer’s Information Sheet

First Name

Middle initial

Last Name

Suffix

Primary Phone

Secondary Phone

Email

Martial Status

Address

City

State

Zip

Is property address going to be used as the primary address? *

Current Address (If property will not be the buyer’s principal address, please provide current address.)

Co-Buyer’s First Name

Middle initial

Last Name

Co-Buyer’s Primary Phone

Secondary Phone

Co-Buyer’s Email

Primary Lender

Loan Officer First Name

Last Name

Phone

Email

Will a termite inspection be done on this property?

Realtor First Name

Middle Initial

Last Name

Company

Phone

Fax

Email

Is the buyer obtaining a home warranty policy?

Warranty Company

Amount of Premium

Will Pinnacle Title be ordering a survey on this property?