NC SELLER INFORMATION SHEET

5950 Fairview Road, Suite 230
Charlotte, NC 28210
704-323-8621
randrlawfirm.com

Renger & Reynolds, PLLC has been retained to represent only the Buyer of the below referenced Subject Property in your upcoming transaction. Please complete this form and return it to us as quickly as possible. Failure to provide this completed form to our office in a timely fashion may delay your closing.

Seller 1 Name:*

Seller 2 Name:

Subject Property:*

Was the Subject Property your primary residence? (Check one)*

YesNo

Phone Number Seller 1 (Required by CertifID):*

Area CodePhone Number - Primary contact for banking info

Phone Number Seller 2:

Area CodePhone Number

Email Address Seller 1 (Required by CertifID):*

Primary contact for banking info

Email Address Seller 2:

Forwarding Address:*

(*We must have an address, even if address is temporary*)

Marital Status (Check one):*

MarriedUnmarriedLegally Separated (with written agreement)

Spouse's Name:

NOTE: If you are married, your spouse MUST sign the Deed. If Legally Separated, please provide copies of the documentation indicating your spouse has relinquished all interest in the property.

SSN# (Seller 1):*

SSN# (Seller 2):

If Seller is an LLC, Corporation, Trust or other entity, E.I.N.:

*** If an LLC, Corporation, Trust or other entity, please provide documentation authorizing the sale of the Subject Property.

Is Seller a U.S. Citizen or holder of a valid Green Card/Permanent Resident Card?*

YesNo

*Please notify our office immediately by phone if you check No to the above question. We will need additional information for tax/withholding purposes.

*This information is essential. Failure to provide this information within five (5) days of the transmission of this form from our firm, may result in HOA "rush" fees which the seller hereby agrees to pay at closing.

HOA Management Company Name:

HOA Management Company Phone Number:

Area CodePhone Number

HOA Management Company Email Address:

Amount of Dues:

Frequency of Dues payments:

Realtor Company Name:

Realtor Name:

Realtor Cell Phone Number

Area CodePhone Number

Realtor Email Address:

Listing/Seller Agent Commission %:

Bonus $:

Listing Agent License Number:

Listing Agent Firm License Number:

Seller/Buyer Agent Commission %:

Bonus $:

Will all Sellers attend closing? (Check one)*

YesNo

If all sellers will not attend closing, you must provide original, notarized documents to us prior to closing.

As a courtesy, Renger & Reynolds, PLLC, will prepare the Seller closing documentation for a standard fee as a Seller expense collected at closing. You may request a copy of our fee schedule for our current rates. In the event title curative measures are necessary or Seller’s title involves an entity or an estate/trust, the standard fee for the Seller will increase. Please advise us immediately if you have retained counsel to prepare your Seller documentation, as Renger & Reynolds, PLLC, represents the Buyer in this transaction. Please note we charge a fee to obtain pay-off information (if applicable) and disburse funds should you choose to retain separate counsel. As set out above, you may request a copy of our fee schedule for our current rates. If Renger & Reynolds, PLLC, will not be preparing the Seller documents, please provide the contact information for the Seller’s Attorney:

Attorney Name:

Attorney Email:

Renger & Reynolds, PLLC charges an administrative fee for the disbursement of all sales proceeds: whether by overnight delivery, wire or otherwise.

If you desire funds to be wired, our office will collect your information via the platform CertifID. CertifID will validate your identity, verify and relay your wire information to our office. Please note: Our office will only accept wiring instructions via CertifID. Please find the CertifID flyer attached for more information.

Proceeds will not be disbursed until the closing documents have been recorded at the county registry. We endeavor to process wire transfers by the end of each day. Please be advised that wire proceeds may not be wired to your account until the following business day. Renger & Reynolds, PLLC is not responsible for reasonable delays for accommodating wire transfers.

Keys and other incidents of possession or ownership should not be deposited with Renger & Reynolds, PLLC to deliver to purchasers or their agents. The undersigned agrees to hold Renger & Reynolds, PLLC harmless for any unauthorized delivery, conveyance, loss or damage to any such items held by Renger & Reynolds, PLLC.

***Our signatures on the following page addressing lien payoffs also constitute an acknowledgement of all of the terms and affirmations set-out on this Seller Information Form***

Seller Signature

Mortgage/Deed of Trust/Equity Line Lender:

Loan Number:

Customer Service Phone Number:

Area CodePhone Number

Approximate Balance $:

Mortgage/Deed of Trust/Equity Line Lender:

Loan Number:

Customer Service Phone Number:

Area CodePhone Number

Approximate Balance $:

Our firm must contact all mortgage companies or other holder of any secured liens on the Subject Property. We require the above information in order to contact the lien holders. Please provide this information as soon as possible as the processing of some payoff information by lien holders takes as many as ten (10) business days.

My/Our signature(s) below constitute my/our authorization of any employee of Renger & Reynolds, PLLC, to obtain any mortgage/home equity line of credit/judgement lien information and to order a payoff on the above or any related accounts on my/our behalf AND I/we further authorize Renger & Reynolds, PLLC, to close/freeze/block said account pursuant to the sale of real estate property security interest.

Seller 1 Signature*

Seller 2 Signature

SELLER INFORMATION SHEET

HOMEOWNERS ASSOCIATION:

REALTOR COMMISION INFORMATION:

SELLER CLOSING DOCUMENTATION:

DISBURSEMENT OF FUNDS:

DELIVERY OF KEYS:

MORTGAGE LOAN/DEED OF TRUST/HOME EQUITY LINE OF CREDIT PAYOFF: