DCA Title Applications

Closing Worksheet

Sale Information

File No.:
Anticipated Closing Date:
Earnest Money $:
Purchase Agreement Date:
Sale Price:
Closing Date:

Property Information

Address:

Unit:

City:

County:

Zip:

Legal Description:

Property Type:

Location of Abstract
or Cert. Of Title:

Cert. No:

Townhouse or Condominium Information

Association Name:

Management Company:

Contact Person:

Phone:

Fax:

Address:

Is Hazard Ins. Included
In Monthly Assn. Dues: Yes No

If yes, Name of
Insurance Company:

Contact:

Phone:

Fax:

E-mail:

Seller Information

Seller's Name:

Social Security No:

Phone (W):

Phone (H):

E-mail Address:

Seller's Name:

Social Security No:

Phone (W):

Phone (H):

E-mail Address:

Present Address:

Marital Status:

Forwarding Address:

Present Financing

Mortgage Company:

Loan No:

Phone:

Fax:

E-mail:

Contract For Deed Holder:

Address:

Phone:

Fax:

E-mail Address:

Second Mortgage/
Home Improvement/
Equity Lines of Credit?: Yes No

Mortgage Company:

Loan No:

Phone:

Fax:

E-mail:

Buyer Information

Buyer's Name:

Social Security No:

Phone (W):

Phone (H):

E-mail Address:

Buyer's Name:

Social Security No:

Phone (W):

Phone (H):

E-mail Address:

Present Address:

Marital Status:

New Financing Information

Lender:

Loan Officer:

Phone:

Fax:

E-mail:

Processor:

E-mail:

Type of Loan:

Agent / Closer Information

Listing Agent(s)

Name:

Company:

Address:

Phone:

Fax:

E-mail Address:

Selling Agent(s)

Name:

Company:

Address:

Phone:

Fax:

E-mail Address:

Commission %:

or $:

Commission Split Info:

Earnest Money Deposited With:

Real Estate Closer

Name:

Company:

Address:

Phone:

Fax:

E-mail Address:

Mortgage Closer

Name:

Company:

Address:

Phone:

Fax:

E-mail Address:

Which DCA Office would you like this form directed to?

Which DCA Closer would you like this form directed to?

Other Pertinent Information or Comments

PLEASE REMEMBER TO SEND A COPY OF THE
PURCHASE AGREEMENT TO DCA'S CLOSER