111 South Court Street, Florence, Alabama 35630 | Ph: 256-764-2011
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Your Name
Required Field-Please Enter Your Name
E-Mail Address
Required Field--Please Enter Your E-Mail Address
Company
Telephone No
Present Owner
Purchaser
If Refinance Please Just Enter "N/A"
Sales Price
Lender
If Cash Sale-Please Enter "CASH SALE"
Lender Contact
Loan Amount
County
Property Address
Section
Township
Range
Acres (+/-)
Subdivision
Lot No.(s)
Block
Closing Agent
Closing Date
Attach File
If you have the contract (or other documents related to the transaction) scanned to your computer you can attach it here. Just click the browse button to locate the file on your computer
Your Notes Here