Seller/Landlord Information Record
We need this information to process your listing!
Name(s)
Seller #1 Name (First & Last as it reads on Title)
Seller #2 Name (First & Last as it reads on Title)
Home Phone #
Please enter a valid phone number.
Seller #1 Mobile
Please enter a valid phone number.
Seller #2 Mobile
Please enter a valid phone number.
Seller #1 Work
Please enter a valid phone number.
Seller #2 Work
Please enter a valid phone number.
Fax
Please enter a valid phone number.
Seller #1 Email
example@example.com
Seller #2 Email
example@example.com
Current Address
Street Address
Street Address Line 2 (Apt/Unit # if applicable)
City
State / Province
Postal / Zip Code
Property to Sell/Lease (if different from address above)
Street Address
Street Address Line 2 (Apt/Unit # if applicable)
City
State / Province
Postal / Zip Code
Mortgage Lender's Name
Lender's Phone #
Please enter a valid phone number.
Loan #
Payoff Amount
Payoff info can usually be found online or your most recent statement.
Are you delinquent on payments?
Yes
No
If Yes, have you asked for assistance for the delinquent payments?
Yes
No
If Yes, has it been repaid?
Yes
No
Is the property part of a short sale?
Yes
No
Do you have an existing Survey?
Yes
No
Have you made any changes to your lot since the date of the Survey?
Yes
No
If Yes, please include specific details of the changes made (added pool, extended concrete patio, added shed on a concrete slab, etc.)
Do you own the Mineral Rights to your property?
Yes
No
How is Title held on this property?
Individual Names
Family Trust
Business LLC
Corporation
If you selected Trust or LLC, please upload a copy here.
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Property Tax Exemption(s)
Homestead
Over 65
Disability
Agricultural
Other
Marital history since acquiring the property. This is required by the Title Company with regard to Texas community property laws.
-
Month
-
Day
Year
Date
Were you married when you purchased the property?
Yes
No
Did you get divorced while you owned this property?
Yes
No
If divorce occurred while owning this property, what date?
-
Month
-
Day
Year
Date
If divorce occurred while owning this property, what county and state?
Did a spouse pass away while owning this property?
Yes
No
If Yes, is there a will?
Yes
No
If there is a will, has it been probated?
Yes
No
Do you have Power of Attorney?
Yes
No
If you have POA, please attach a copy here.
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Is the property part of a Homeowner's Association?
Yes
No
If Yes, how often are dues assessed?
Monthly
Quarterly
Annually
Are your dues paid up to date?
Yes
No
Is the property part of a Bankruptcy?
Yes
No
If Yes, when did it get discharged?
-
Month
-
Day
Year
Date
If Yes, what county and state?
Are you party to any lawsuits that involve the property?
Yes
No
Has there been a death on the property?
Yes
No
Are you a citizen of the USA?
Yes
No
If No, do you have a Green Card?
Yes
No
If you are not a U.S. citizen but have a U.S. Tax ID #, please provide below.
Will you be present at closing?
Yes
No
Do you need a Mail-Out closing?
Yes
No
If Yes to Mail-Out closing, what address should the title company send papers to?
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Additional Comments:
Please let me know if there are any special circumstances
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