Manufactured / Mobile Home Open Order Form

Use this form to open escrow for a manufactured or mobile home transaction. Fields marked with an asterisk (*) are required. Submission of this form does not constitute acceptance of escrow.

Section 1 — Dealer Information

Dealer Name

Dealer Address

Dealer Phone

Section 2 — Buyer Information

Buyer Name

Buyer Address

City

State

ZIP

Buyer Phone

Buyer Email

Section 3 — Home Information

Manufacturer

Year

Model

Size

License Number

Serial Number

DOH Insignia Number

Location of Mobile Home

Park Name (if applicable)

Section 4 — Transaction Information

New Legal Owner

Current Registered Owner Name and Address

Current Legal Owner

Loan Number (if applicable)

Section 5 — Financial Information

Paid Outside Escrow

Buyer Deposit

Cash to Come

Amount Financed

Total Consideration

Section 6 — Total Consideration Breakdown

Purchase Price

Use Tax

Property Tax

Registration Fee

Insurance

Escrow Fee

Section 7 — Escrow Instructions & Requests

Escrow Instructions (check all that apply)

Prepare Escrow InstructionsRequest Demand for PayoffOrder Tax Amounts

Section 8 — Transfer Fees (Informational)

Transfer fees may apply based on home type:

Single Wide
Double Wide
Triple Wide

Final fees subject to confirmation.

Section 9 — Notes & File Uploads

Notes / Additional Items

File Upload (bill of sale, registration, payoff statements, supporting documents)

Accepted formats: PDF, DOC, DOCX

Section 10 — Escrow Officer Selection

Choose Your Escrow Officer

Section 11 — Contact Email

Your Email Address

Security Notice

For security purposes, please complete the verification below before submitting this form.

Submission of this form does not create an escrow relationship. Escrow is opened only upon acceptance and confirmation by the escrow company.