Powell Title - "Serving all Ohio Counties"

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Net To Seller

Agent Information
Bold denotes required field
Agent Name :
Brokerage Name :
Address :
City :
State :
Zip Code :
Phone Number:
Fax Number:
Email Address :

Seller Information
Seller(s) Name :
Address :
City :
State :
Zip Code :
Email Address :
County :

Selling Price
Selling Price (Scenario 1) :
Selling Price (Scenario 2) :
Selling Price (Scenario 3) :
Closing Date (Estimated) :

Mortgages
1st Mortgage Payoff :
2nd Mortgage Payoff :
3rd Mortgage Payoff :

Taxes

Annual Tax Amount :

Estimated Taxes :

Please Select Periods Paid :

1st Half :	Paid
2nd Half :	Paid

Fees
Home Warranty :
Gas Warranty :
Termite Inspection :
Prior Title (Back Title) :
Prior Title Insurance Policy Amount :
Listing Broker Commission :	%
Selling Broker Commission :	%
Misc Fees :	Add Misc Fee
Description :
Amount :

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