Seller Questionnaire

Subject Property Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Is this the primary/homestead property of any of the Sellers?

YesNo

Name of Seller #1

Name of Seller #2

Marital Status

MarriedSingle

Marital Status

MarriedSingle

If married, please indicate spouse's name

Current Address Seller #1

Current Address Seller #2

Post Closing Address for all correspondence from Title.zone

Social Security Number Seller #1

Social Security Number Seller #2

Seller #1, Are you a US Citizen?

Seller #2, Are you a US Citizen?

Seller #1, Best Contact phone number

Seller #2, Best Contact phone number

Seller #1 email

example@example.com

Seller #2 email

example@example.com

Who is responsible for the water/sewer bill for the property? The Owner or the association?

Who provides these services to the property?

Name of Water Company

Are there any existing mortgages or equity lines of credit recorded against the subject property?

If yes, then please provide the following information for each loan:

Name of the lender #1

Mortgage holder

Loan Number

Lender Telephone

As it appears on your statement

Name of the lender #2

Mortgage holder

Loan Number

Lender Telephone

As it appears on your statement

Are there any HOA, Condominium Associations or Property Management Companies we need to contact?

Master Association Contact Information

If handled by a Property Management Company, provide their information

Sub Association Contact Information

If handled by a Property Management Company, provide their information

Club House or Golf Membership Contact Information

If handled by a Property Management Company, provide their information

****Please provide us with a copy of your Owner's Title Insurance Policy and Survey, if available, as soon as possible. This can save you and/or the buyer money at closing. You would have received these at the time you purchased your property or shortly thereafter.

Do you have a Survey of the Property?

Do you have an Owner's Title Insurance policy?

If you have these available now, you can drag and drop them here. If not, you can email them to us at a later time to Andrea@TitleAgency.zone

Will you be present at the closing?

If not, will you accept the documents via e-mail and have the capability to print them?

Please indicated how you would like to receive your sale proceeds:

WireCheck via Overnight Delivery

If WIRE, please provide us with:

BANK NAME

ABA/Routing

ACCOUNT #

BANK ADDRESS

Name on Account

Address on Account

If UPS, please provide address where you would like funds sent

Signature of Person Completing the From*