Offer Request: Submission Form

The following information provides valuable information to prepare and complete an offer. Please complete the following questions as best as possible.

Agent Name:*

First Name
Last Name

Buyer Information

Buyer (1) Full Name*

Include First Name, Middle Name and Surname

Buyer (1) Address*

Buyer (1) Email*

Buyer (1) Phone Number*

Mobile

Buyer (2) Full Name

Include First Name Middle Name and Surname

Buyer (2) Address

Buyer (2) Email

Buyer (2) Phone Number

Mobile

Buyer Ownership*

The Offer

Property Address*

Street Address
Street Address Line 2
City
State
Postal Code

Cash / Financing

If the Buyer is paying Cash, please enter the offer price and proceed to the following section.

Cash?

Offer Price*

Loan Amount

Finance Approval Timeframe

Lender

Finance Broker Contact Details

Email

Phone Number

Contract Terms

Deposit Amount*

Settlement Agent*

Include your preferred Settlement Agent's name

Settlement Date*

Date

Purchased "AS-IS"

Annexures & Conditions

Select Applicable Annexures

Subject To The Sale Of Another Property

Subject To The Settlement Of An Existing Contract

REMINDER:

If financing, please email us a copy of the preapproval letter to [email protected]

Additional Notes

Input Any Special Instructions For The Offer

Provide any additional information that may be advantageous for us to know.

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