SELLER INFO REQUEST FORM

Property Address
Full Legal Name
Marital Status
If Married, Legal Name of Spouse
Phone
Email
example@example.com
Forwarding Address
Are you a U.S. Citizen?

YesNo
SSN
Do you have a Green Card?

YesNo
Please Provide a Copy

Cancelof
How would you like to receive your funds after closing?

Company CheckWire (May include fee)
Where would you like to sign?

Our OfficeOther
Detail
Is the property any of the following:

HomesteadInvestment2nd homeInheritance
Is the property Vacant?

YesNo
-If there is a tenant in the property that is staying in the property, we will need a copy of the most recent lease and a completed tenant estoppel. (One will be provided once information is disclosed to us)

***Please provide copy of Owner's Title Insurance Policy ***
MORTGAGES AND/OR EQUITY LINES
1st Loan Payoff Company
Loan #
Phone
2nd Loan Payoff Company
Loan #
Phone
ASSOCIATION(S)
HOA/Condo Association Name (if applicable):
Management Company and Phone Number
Sub Association (if applicable)
Management Company and Phone Number
If there is any other information our office should know please comment below
Contract Close Title Company
Phone: (954) 526.4965 | Fax: (954) 526.4965
Title@ContractClose.com
Should be Empty:

MORTGAGES AND/OR EQUITY LINES