Online Escrow Form for Mobile/Manufactured Home

    Dealer*

    Buyer Information

    Buyer*

    Address

    City

    Phone #

    Home Information

    Manufacturer

    Year

    Model

    Year

    License/Decal #

    Serial #

    DOH Insignia #

    Location of Mobile Home (and Park Name)*

    Transaction Information

    New Legal Owner

    Current Registered Owner's Name and Address

    Current Legal Owner

    Loan #

    Address

    Paid Outside Escrow

    Buyer Deposit

    Cash to Come

    Amount Financed

    TOTAL CONSIDERATION INCLUDES THE FOLLOWING

    Purchased Price

    Use Tax

    Property Tax

    Registration Fee

    Insurance

    Escrow Fee

    Prepare Escrow Instructions

    Request Demand for Payoff

    Order Tax Amounts

    Transfer Fee:

    Used:

    New:

    Singlewide

    $308

    $123

    Double

    $336

    $151

    Triple

    $364

    $179

    Your Email Address

    Email Address*

    Notes & Additional Items

    File Attachment Area

    Attach a file

    Inland Empire Escrow

    Main Office - Inland Empire
    Linda M. CooperKerry CisnerozAshley GreenAdam LinamenAdriana OrtizKimberly A. Hohberg

    Hospitality Branch – San Bernardino and Redlands
    Susan Schafer

    captcha