Seller/Landlord Information Record

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.Format: (000) 000-0000.
Seller #1 Mobile
Please enter a valid phone number.Format: (000) 000-0000.
Seller #2 Mobile
Please enter a valid phone number.Format: (000) 000-0000.
Seller #1 Work
Please enter a valid phone number.Format: (000) 000-0000.
Seller #2 Work
Please enter a valid phone number.Format: (000) 000-0000.
Fax
Please enter a valid phone number.Format: (000) 000-0000.
Seller #1 Email
example@example.com
Seller #2 Email
example@example.com
Current Address

Street Address

Street Address Line 2 (Apt/Unit # if applicable)

CityState / Province

Postal / Zip Code
Property to Sell/Lease (if different from address above)

Street Address

Street Address Line 2 (Apt/Unit # if applicable)

CityState / Province

Postal / Zip Code
Mortgage Lender's Name
Lender's Phone #
Please enter a valid phone number.Format: (000) 000-0000.
Loan #
Payoff Amount
Payoff info can usually be found online or your most recent statement.
Are you delinquent on payments?
If Yes, have you asked for assistance for the delinquent payments?
If Yes, has it been repaid?
Is the property part of a short sale?
Do you have an existing Survey?
Have you made any changes to your lot since the date of the Survey?
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?
How is Title held on this property?
If you selected Trust or LLC, please upload a copy here.

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Property Tax Exemption(s)

Other
Marital history since acquiring the property. This is required by the Title Company with regard to Texas community property laws.

MonthDayYear
Date
Were you married when you purchased the property?
Did you get divorced while you owned this property?
If divorce occurred while owning this property, what date?

MonthDayYear
Date
If divorce occurred while owning this property, what county and state?
Did a spouse pass away while owning this property?
If Yes, is there a will?
If there is a will, has it been probated?
Do you have Power of Attorney?
If you have POA, please attach a copy here.

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Is the property part of a Homeowner's Association?
If Yes, how often are dues assessed?
Are your dues paid up to date?
Is the property part of a Bankruptcy?
If Yes, when did it get discharged?

MonthDayYear
Date
If Yes, what county and state?
Are you party to any lawsuits that involve the property?
Has there been a death on the property?
Are you a citizen of the USA?
If No, do you have a Green Card?
If you are not a U.S. citizen but have a U.S. Tax ID #, please provide below.
Will you be present at closing?
Do you need a Mail-Out closing?
If Yes to Mail-Out closing, what address should the title company send papers to?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Additional Comments:
Please let me know if there are any special circumstances
Should be Empty: