COOP PLUS POLICY ORDER FORM

NOTE: Please include the first page of contract of sale.
(Attach an electronic copy or fax it with this printed form to (516) 706-0571

Policy * Owner's Policy   Lender's Policy   Cooperative Organization Endorsement
 

APPLICANT
Firm *
Primary Contact *
Address *
City *
State * Zip *
Tel * Fax
Email

COOP UNIT PREMISES
Address *
Apt/Unit *
City *
State    
Cooperative Organization *

OWNER
 Owner(s)/Seller(s) * If seller is deceased, please attach a copy of death certificate.

You may list as many property owners/sellers as you wish, separated by commas or one on each line.

   
Seller's Information Same as property address
Address of Seller
Apt/Unit
City
State Zip
       

PURCHASER
 Purchaser(s) * You may list as many property owners/sellers as you wish, separated by commas or one on each line.
Address
Apt/Unit
City
State Zip 
Lender (if any)
Purchase Price  Loan Amount 
Financing Purchase - New Loan Refinance - New Loan Purchase - Cash
Secondary Loan 		 

NOTES &  INSTRUCTIONS
Delivery Method Email     Mail     Fax
 
1st Copy to Seller's Attorney
Purchaser's Attorney
Coop's Attorney
Other
 
2nd Copy to Seller's Attorney
Purchaser's Attorney
Coop's Attorney
Other
 
3rd Copy to Seller's Attorney
Purchaser's Attorney
Coop's Attorney
Other
 
     
Notes / Instructions
   E-mail me a copy of this order.
   
The Coop Shop, LLC
1415 Kellum Pl. Suite 202
Garden City, NY 11530
 Phone: (212) 845-3160
Fax: (516) 706-0571
Email: CoopShop@fnf.com
 Copyright © 2009 THE COOP SHOP, LLC. All Rights Reserved Contact Webmaster