Wufoo

Shells Settlement Services Online

The quickest way to expedite your search and commitment!

Order Placed By: * First Last
Phone Number: * - (###) - ### ####
Sales Price: * $ . Dollars Cents
Loan Amount: * $ . Dollars Cents
Cash Transaction? *
Yes No

Please Choose
Closing Date: * / MM / DD YYYY
Closing costs paid by: *
Buyer Seller
Shells Settlement to order survey? *
No Yes
Property Information:
Vacant Land? *
Yes No
Property Address: *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Purchasor Information:
Purchasor #1 Name: * First Last
Purchasor #1 Phone: - (###) - ### ####
Purchasor #1 Marital Status:
Single Married
Purchasor #2 Name: (if applicable) First Last
Purchasor #2 Phone: (if applicable) - (###) - ### ####
Purchasor #2 Marital Status:
Single Married
Purchasor's Address:
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Mail Away?
Yes No
Seller Information:
Seller #1 Name: * First Last
Seller #1 Phone: - (###) - ### ####
Seller #1 Marital Status:
Single Married
Seller #2 Name: First Last
Seller #2 Phone: - (###) - ### ####
Seller #2 Marital Status:
Single Married
Seller's Address:
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Mail Away?
Yes No
Agents, Commission & Earnest Money:
Selling Agent Name: First Last
Selling Agent Company:
Selling Agent Phone: - (###) - ### ####
Selling Agent Fax: - (###) - ### ####
Selling Agent Commission %
Listing Agent Name: First Last
Listing Agent Company:
Listing Agent Phone: - (###) - ### ####
Listing Agent Fax: - (###) - ### ####
Listing Agent Commission %
Earnest Money Deposit: $ . Dollars Cents
Escrow Deposit Held By:
Escrow Company Phone: - (###) - ### ####
Mortgage Payoff Information:
Lender Name: (First)
Loan Number: (First)
Lender Phone: (First) - (###) - ### ####
Lender Address: (First)
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Lender Name: (Second)
Loan Number: (Second)
Lender Phone: (Second) - (###) - ### ####
Lender Address: (Second)
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Finance Information: (New Loan Info)
Lender:
Lender Phone: - (###) - ### ####
Lender Contact: First Last
Insurance Company:
Insurance Phone: - (###) - ### ####
Insurance Contact: First Last
Homeowner / Condo Association Information:
Association Name:
Association Phone: - (###) - ### ####
Special Instructions
How else may we assist you?
Do Not Fill This Out

Wufoo

Shells Settlement Services Online

Property Information:

Purchasor Information:

Seller Information:

Agents, Commission & Earnest Money:

Mortgage Payoff Information:

Finance Information: (New Loan Info)

Homeowner / Condo Association Information:

Special Instructions