Real Estate Earnest Money Dispute Claim Form

Real Estate Earnest Money Dispute Claim Form — Form Fields

This real estate template includes 9 fields. File a claim for release of earnest money following a failed real estate transaction. Free to customize and use on ZenBuild.

• Claimant Name (text, required)
• Email Address (email, required)
• Property Address (text, required)
• Claimant Role (dropdown selection, required) — options: Buyer, Seller
• Escrow Agent or Title Company (text, required)
• Earnest Money Amount (number, required)
• Reason for Failed Transaction (dropdown selection, required) — options: Financing Contingency, Inspection Contingency, Appraisal Contingency, Seller Default, Buyer Default, Mutual Agreement, Other
• Describe the circumstances and basis for your claim (long text, required)
• Upload purchase agreement and relevant correspondence (file upload, optional)