Seller's Information Sheet

Buyers's Information Sheet

Each Buyer Must Fill Out and Sign and submit this form
Buyer's Name

First NameLast Name
Property Address of Purchase or Refinance
Buyer's Phone Number
Please enter a valid phone number.
Buyer's Email
Buyer's Date of Birth

MonthDayYear
Date
PLEASE CALL US TO VERBALLY PROVIDE YOUR SOCIAL. DO NOT ENTER IT HERE.
Buyer's Marital Status Married Single Divorced Widowed
Lender's Name
Buyer's Mortgage Broker
Mortgage Broker Phone Number
Please enter a valid phone number.
Buyer's Email
HOA or Condo Association if applicable
Managment Co Name if applicable
HOA or Condo Contact Phone No.
Please enter a valid phone number.
Management Co Contact Phone No.
Please enter a valid phone number.
HOA or Condo Email
Management Co Email
Is Buyer Represented by an Attorney?

First NameLast Name
Buyer's Attorney Phone Number
Please enter a valid phone number.
Buyer's Attorney Email
Is Buyer Represented by a Realtor?

First NameLast Name
Buyer's Realtor Phone Number
Please enter a valid phone number.
Buyer's Realtor Email
What is the Commission Amount?
Is there a processing fee? and if so how much?
Is there an address you want to use instead of the purchasing property for mail?
Notice to Buyer

If the property is located in the cities of Hialeah, North Miami Beach, Biscayne Park, El Portal, Miami Shores, Miami Springs, North Miami, Miami Gardesn, or Virginia Gardens, and not a condo, the seller and or buyer, depending on what’s stated in the contract will need to provide a RE-OCCUPANCY CERTIFICATE. We cannot close without this document unless both parties agree to execute a HOLDHARMLESS, a Hold harmless does not keep the City the property is in from placing a fine and or violation against the house and buyer after closing. EZ TITLE SERVICES, LLC AND ATTORNEY ERIC M. ZIMELMAN WILL NOT BE RESPONSIBLE FOR ANY FINE OR VIOLATION PLACED BY CITY FOR THIS MATTER.

For all condominiums we will need the ORIGINAL CONDO APPROVAL in order to close.
Buyer's Signature

Clear
Should be Empty:

Buyers's Information Sheet

Buyer's Marital Status Married Single Divorced Widowed