Offer To Purchase Real Estate "*" indicates required fields OFFERED TO ME BYCoastal Realty 700 Pleasant Street Suite 330 New Bedford, MA 02740 ADDRESS TO PURCHASE* Street Address City Name* First Last Address Street Address City State / Province / Region ZIP / Postal Code Email* Phone*THE AMOUNT I/WE WOULD LIKE TO OFFER TO THE OWNER OF RECORD: DEPOSIT AMOUNT I/WE WILL PROVIDE TO BIND THIS OFFER; $1,000 $2,500 $5,000 I/WE WOULD LIKE TO PERFORM THE FOLLOWING: HOME INSPECTION LEAD INSPECTION WATER INSPECTION RADON INSPECTION ALL WAIVED I/WE WOULD LIKE TO CLOSE ON OR ABOUT DateConsent* I agree to the above offer to purchase.We will contact you for additional information. SIGNATURE Δ