Maryland Transfer
&
Recordation Tax Table
LENDER INFORMATION
Lender
Loan Officer
Loan Amount
Loan Processor
Type Principal Residence?
Expected Settlement Date Rate Lock Expiration Date


BUYER(S)/BORROWER(S)
Name
SSN
Home Phone
 Work Phone
Name
SSN
Home Phone
Work Phone
Property Address
 City & Zip
County


SELLER(S)
Name
SSN
Home Phone
 Work Phone
Name
 SSN
Home Phone
 Work Phone


PAYOFF INFORMATION
Lender #1
Name
 Account Number
Phone Number
Lender #2
Name
 Account Number
Phone Number
Lender #3
Name
Account Number
Phone Number


ADDITIONAL INFORMATION
Buyer's Agent
Company
Agent Name
Office Phone
 Mobile Phone

Seller's Agent
Company
Agent Name
Office Phone
 Mobile Phone

Please add any pertinent information:

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