TCAT Realty Services, Inc.

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Customer Information:

First and Last Name (B)

Address (B)

City (B)

State (B)

Zip Code (B)

Email (B)

Home Phone (B)

Cell Phone (B)

Work Phone (B)

Property Address

Property Listing Number

Bid Price

Cash Down Payment (min 10%)

Purchase Price

Cash at Closing

Financing

Lender

Pay seller closing costs?

Amount of Seller Closing Costs

Have you inspected the home?

Do you require an inspection?

Time Required for Inspection

Any contingencies
(please list)

Have you read sellers disclosures?

Have you read all other disclosures?

Will you sign an "As-Is" Contract?

Agree no co-op commissions?

You understand that seller may not accept any bids and that the 3 highest bidders may be invited to submit a revised bid?

TCAT Realty Services, Inc.
P.O. Box 547863, Orlando, FL 32854
Phone: (407) 421-3002 or (407) 474-1388
Fax: (407) 290-5643 Email: info@tcatrealty.com