Buyers Name:
 Phone #:
Email:
Address of the
Home Purchased:
How Much Do
You Want To
Offer?
How Much
Closing Cost
Do You Need?
How much Are
You Going To
Finance?
What Type of
Financing?
Earnest Money:    Personal Check
 Money Order
 Cashier's Check
Do you want to purchase loan discount points?   Yes
 No
 I'm not sure
Do you want a home warranty? (~$425)    Yes
 No
 I'm not sure
Do you need the seller to provide home warranty?    Yes
 No
When do you want to
close on your home?
Is there anything special
about the property that
needs clarified?
Is there anything that you
want to request in the  
purchase of the property?
What inspections do you need?
These are just estimates and prices are subject to change without notice:
Radon (~$150)
 Termite (~$60)
Well & Septic
Asbestos (~$200)
Mold (~$250)
 Lead Base Paint
Mechanical (~$250)
 Repairs $
Structural (~$250)
 Repairs $
Are there any terms we need
to clarify or any comments?
Is there anything you want to
request with the purchase of
your home?
Your information will remain
confidential. It will only be
used to help you purchase or
sell real estate.
Make An Offer
Your Friends in
Real estate saving
you TIME and
MONEY.
Cory Barnett    
Broker

Liberal, KS
620.624.4201 Office
1.800.624.8082 Fax

Our Family is ready to serve your Family!