Pinnacle Title & Escrow

Buyer’s Information Sheet

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Buyer’s Information

First Name

Middle Initial

Last Name

Suffix

Primary Phone

Secondary Phone

Marital Status

Property Information

Address1

Address2

City

State

ZIP

Is property address going to be used as the primary address?

Yes No

Current Address

If property will not be the buyer’s principal address, please provide current address.

Address1

Address2

City

State

ZIP

Co-Buyer’s Informations

(If Applicable)

First Name

Middle Initial

Last Name

Primary Phone

Secondary Phone

Lender Information

Primary Lender

Loan Officer First Name

Middle Initial

Last Name

Phone

Termite & Hazard Information

Will a termite inspection be done on this property?

Homeowner’s Insurance Information

Please fax paid receipt or invoice for homeowner’s insurance to (301) 424-6896.

Buyer’s Real Estate Agent Information

Realtor First Name

Middle Initial

Last Name

Company

Phone

Fax

Administrative Fee

Commission Percentage

Home Warranty Information

Is the buyer obtaining a home warranty policy?

Warranty Company

Amount of Premium

Survey Information

Will Pinnacle Title be ordering a survey on this property?

If yes, you will need to complete and submit an order form. Please provide either the email address or fax number you would like it sent to:

Fax

51 Monroe Street | Suite 1505
Rockville, MD 20850

301-424-5400
info@pinnacletitle.com

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LICENSE NUMBERS

MD: 113519

DC: 2891071

VA: 106675

FL: E158403

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ABOUT PINNACLE TITLE & ESCROW

Pinnacle Title & Escrow, Inc. is a full-service real estate settlement firm. The company has been attorney owned and operated since 1996 and is a licensed title insurance agent in Maryland, District of Columbia, Virginia, and Florida. Pinnacle Title has multi-lingual settlement agents, provides mobile and after-hours closings, and can provide closing services nationwide.

Buyer’s Information Sheet