Keeping in Touch: Please Provide Your Contact Information

We want to keep a good relationship with our buyers, and there are many reasons why we would like
to keep in touch with you. Please provide your current contact information here and keep us
informed if your contact information changes.

Property address: _________________________________

Today’s Date: _______________

Your Full Name: _________________________________________

Your SS#: _____________

*a SS# is required for a final signing procedure, and financial approval process. If your
completed BAF is attached here, (including SS#) this can be left blank.

Your date of birth: ________________________________________

Your Best E-Mail Address: ________________________________

* Please confirm that this email address may be used by us to contact
you regarding all important communications and notices regarding your
land contract? y / n

Your Facebook Profile Name:______________________________________

Facebook URL: www.facebook.com/______________ ____________

*Your Facebook URL. EX: www.facebook.com/your_facebook_page_uniqueID

Best Personal Number: _____________________________________

*Is this a mobile #? Y / N

Best Work Number: ______________________________________

*Is this a mobile #? Y / N

Emergency Contact Name & Relationship #1: ____________________

Emergency Contact Phone #1: _______________________

Emergency Contact Name & Relationship #2: ____________________________

Emergency Contact Phone #2: ___________________________________

Attached Documents Should Be:

- Copy of Your Current ID
- Completed Buyer Application Form (BAF) (if it hasn’t already been submitted earlier)

D21 E01 Buyer Contact Data sheet