Purchase Order Form New Sale Thank you for your order! Please complete the information boxes below for your title and / or escrow order. Once submitted, your order will be processed and our order desk will reply to you with your order number. Open Up Contact Information:Your Full Name* Your Email Address* Contact Phone Number**Attach Purchase and Sale Agreement.Max. file size: 20 MB.Proposed Closing Date:* MM slash DD slash YYYY I will email or fax the Purchase and Sale Agreement later. Email to: OrderCenter@pnwtkitsap.com or fax to 360.692.8001. If a copy of the Purchase and Sale is sent to PNWT – please only complete any additional information not included in the PSA below (i.e. lender info, contact info etc.)Property InformationProperty Address (Street or P.O. Box, City, State, Zip) Tax Account NumberSeller InformationSeller Name Vesting StatusHusband & WifeSingle PersonDomestic PartnerTrustee of TrustManaging Member of LLCCorporationSeller's Mailing Address (Street or P.O. Box, City, State, Zip) Seller's Contact Phone NumberBuyer InformationBuyer Name Vesting StatusHusband & WifeSingle PersonDomestic PartnerTrustee of TrustManaging Member of LLCCorporationBuyer's Mailing Address (Street or P.O. Box, City, State, Zip) Buyer's Contact Phone NumberOwner's Policy InformationContract Sales PriceOwner's Policy Type: Homeowner's Policy of Title Insurance Standard Coverage Owner's Policy Extended Coverage Owner's Policy Lender Policy InformationLoan Amount $Loan Number Lender's Policy: Extended Coverage Loan Policy (Customary) Standard Coverage Loan Policy Is there a second loan? (check if yes) Lender / Mortgage Broker InformationCompany Name Address (Street or P.O. Box, City, State, Zip) PhoneFaxLoan Officer Name Email Processor Name Email Lender Proposed Insured Listing Broker InformationListing Broker Name Listing Broker Office Address (Street or P.O. Box, City, State, Zip) Listing Broker email Phone NumberFax NumberIs there a transaction coordinator for the Listing Agent? (check if yes) Transaction Coordinator Name Transaction Coordinator Email Selling Broker InformationSelling Broker Name Selling Broker Office Address (Street or P.O. Box, City, State, Zip) Selling Broker email Phone NumberFax NumberIs there a transaction coordinator for the Selling Broker? (check if yes) Transaction Coordinator Name Transaction Coordinator Email Escrow Information Escrow will be closed by PNWT, please assign this transaction to the following branch: Silverdale BranchPort Orchard BranchBainbridge Island Branch Escrow will be closed with an outside escrow company: Company Name: Attn Escrow No. Address (Street or P.O. Box, City, State, Zip) PhoneFaxEmail Special Instructions / Comments
