NEW JERSEY BUYER forM:Congrats! Please fill out this form to the best of your ability for Amy. Agent Name Property Address: (include zipcode) Closing Date? Lead Source? Commission Split: Higher Lower Is this a referral? Yes No No Mortgage Referral agreement completed? Yes No Is commission paid off of gross or net? Gross Net If there is seller assist is commission paid off net or gross ? Net Gross Buyer LEGAL Name 1 (in public records) * First Name Last Name Phone (###) ### #### Is the client a US Citizen? * Yes No Buyer 1 Email * Buyer LEGAL Name 2 (in public records) First Name Last Name Buyer 2 Email Lender name & email address: Mortgage type? Buyer Title company email: Is buyer participating in any special loan programs? If yes, please explain below. Has your buyer ever filed for bankruptcy? Will the buyer attend closing locally? Co-op agent name & email: * Primary Residence or Investment Property? Primary Residence Investment Property Martial Status of buyer if not an LLC? Married Divorced Currently going through a divorce Single If buyer is an LLC, do you have corporate docs? * Yes No If single buyer, will an LLC be formed prior to closing? Yes No Condo Association? Yes No If Yes, Please provide the condo association contact info: Survey needed? Yes - Survey needed No Is this an estate? Yes No NJ CO: Who is responsible for this? Seller Buyer NJ Only - will your client be using an Attorney? If so, please add the contact info. Attorney Review: Will buyer use an attorney throughout the entire process or only during attorney review period? NJ Only - Is there a septic tank on the property? * Yes No NJ Only - Is there a well on the property? Yes No Is this property new construction? Yes No Thank you!
