1. Email  
    Address:

2. Name:

3. Address:

4. City:

5. State:

6. Zip Code:  

7. Would you like an attorney to telephone you?        Yes      No

Best time to call:

Daytime Phone:

Evening Phone:

 

8. Are you above the age of 18?        Yes      No

1. Is the property a:     Single Family Residence      Condominium
        Apartment Building    Commercial Building           Industrial Building

2. What type of property was purchased/sold?   Residential   Commercial   Industrial

3. What is the address of the subject property?

               

4. Was there a written contract for the purchase/sale?     Yes   No
     - If yes, do you have a copy of the contract?             Yes   No

5. Were you a buyer or seller of the property?       Buyer   Seller
     - If yes, do you have a copy of the contract?     Yes   No

6. What was the purchase price of the property?      

7. Was there a good faith deposit for the purchase/sale?     Yes     No
     - If yes, how much was the good faith deposit?    

8. Was there a down payment for the purchase/sale?       Yes      No
     -If yes, how much was the down payment?          

9. Was there financing for the purchase/sale?     Yes   No
     - If yes, how much was the financing?    

10. Was an escrow company used in connection with the purchase/sale?     Yes     No
     - If yes, when was escrow opened?    
     - If yes, did escrow close?                   Yes     No
     - If escorw closed, when did it close? 

11. Was a broker involved in the transaction?    Yes   No
     - If yes, did the broker represent:     Buyer     Seller     Same Broker For Both

12. Did you receive/give a real estate disclosure statement?     Yes     No

13. Did an inspector inspect the property before the sale was concluded?    Yes   No
     - If yes, identify the name of the inspector and the firm he/she is with.

            

14. Please describe in detail the nature of your dispute.