Request for Prelim HUD-1 Statement — Prodigy Title Agency

Preliminary HUD Request

Please fill out the form below to submit a preliminary HUD request. We’ll immediately receive your request and be sure to follow up within 1 business day regarding your request.

*Please note that the seller proceeds will be zeroed out unless otherwise noted

Buyer Name

First Name

Last Name

Seller Name

First Name

Last Name

Address

Please include the county on address line 2

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Closing Date

YYYY

Sales Price

Earnest Money

Commission

Seller Paid Closings Costs

Is the seller to pay owner's title insurance?

Yes

Home Warranty

HOA Dues

Please include if the fee is monthly, quarterly, semi-annual, or annual

HOA Delinquent Amount

First Mortgage Co.

Second Mortgage Co.

Second Mortgage Co. Amount

Additional Notes

Requested By

Name & phone number

Send preliminary HUD to