Earnest Money Payment

*This is the address and contact information that your bank has associated with your checking account.

First Name*

Last Name*

Company

Email Address*

Billing Address line 1

Billing Address line 2

State

City

Zip

Phone*

Fax

**This is the address of the property you are purchasing for which the earnest money is being applied to.

Property Address*

Agent Name*

Buyer's Name*

Seller's Name

Earnest Money Amount*

Account's Holder Name*

Account Number*

Check Number*

Routing Number*

Account Type*

Phone*

I agree with terms and condition

If you have any questions please contact: RE/MAX LEGENDS at 770-963-5181 or accounting@remax-legends.com