Hampton Escrow, Inc.   23382 Mill Creek Drive, Suite 214 Laguna Hills, California 92653 Phone: 949-680-3440 Fax: 949-680-3441   www.HamptonEscrow.com

Open Escrow Order Form For Sales   Please fill out the form below, thank you. Escrow will be opened upon receipt of fully executed contract, counter offers and all addendums.   Items marked with an asterisk (*) are required for online order submission
Date:		Escrow Officer:	Tyra L. Hopkins Deidra Cunningham Katie Donovan Lisa Giarratano Shohreh Khatemi Audrey Luna
		Sales Rep:	Tyra L. Hopkins Deidra Cunningham Katie Donovan Lisa Giarratano Shohreh Khatemi Audrey Luna
Mortgage Broker/Lender Information
* Broker Name:		* Broker Email:
Loan Officer:		Broker Full Address:
Broker Phone:		Broker Fax:
Borrower Information
* Borrower 1 Name:		Borrower 1 SSN:
Borrower 2 Name:		Borrower 2 SSN:
Property Address:	Street Address, City, State, Zip Code
Home Phone:		Work Phone:
Cell Phone:		Email:
Mailing Address: if different than above	Street Address, City, State, Zip Code
Seller Information
Seller 1 Name:		Seller 1 SSN:
Seller 2 Name:		Seller 2 SSN:
Property Address:	Street Address, City, State, Zip Code
Home Phone:		Work Phone:
Cell Phone:		Email:
Mailing Address: if different than above	Street Address, City, State, Zip Code
Listing Real Estate Company
Company Name:		Agent Name:
Company Address:	Street Address, City, State, Zip Code
Commission:		Phone:
Email:		Fax:
Selling Real Estate Company
Company Name:		Agent Name:
Company Address:	Street Address, City, State, Zip Code
Commission:		Phone:
Email:		Fax:
New Loan Financial Information
Purchase Price:
New 1st Loan:		New 2nd Loan:
Existing Loan Information
1st Lender Name:		1st Loan Number:
1st Payoff?	Yes     No
2nd Lender Name:		2nd Loan Number:
2nd Payoff?	Yes     No
Title Company Preferences
Company Name:		Rep. Name:
Additional Info?
Home Owner Association Information
HOA Name (1)		Dues Amount (1)
HOA Name (2)		Dues Amount (2)
Attachments Information These items should be faxed promptly to (949) 680-3441.
# of Addendums:		# of Counter-Offers:
Additional Information and Comments
Please submit each order only once by pressing this button one time.