EDDY COUNTY ABSTRACT CO., INC.

GENERAL INFORMATION

Your Name:

To: James Bradford Joleen McCormick Steve Bradford George Anna Connie Darrah Sandra Pearson

Transaction Type: Choose one of the following Assumption Cash Contract of Sale Home Equity 1031 Exchange Foreclosure New Construction Owner Finance Real Estate Owned (REO) Refinance Relocation Resale\Purchase Need specific information

Loan Type: Choose one of the following Refinance Cash Conventional Insured Conventional Uninsured FHA FMHA VA

Sales Price:$

Loan Amount:$

Previous Title Policy:

PROPERTY INFORMATION

Street Number

Street Name:

City:

County:Eddy

State:New Mexico

Zip:-

Legal Description: (if known)

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SELLER (S) OR PROPERTY OWNERS

Name (s):

Current Marital Status:

Mailing Address:

City:

State:

Zip:-

Home Phone Number:

BUYER(S)

Names (s):

Current Marital Status:

Mailing Address:

City:

State:

Zip:-

Home Phone Number:

LENDER

Loan Officer:

Company:

Mailing Address:

City:

State:

Zip:-

Phone Number:

E-mail Address:

Fax Number:

 CONTACT PERSON

Company Name:

Name:

Mailing Address:

City:

State:

Zip:-

Phone Number:

E-mail Address:

Fax Number:

   Message or Special instructions: