Darley Law Firm Seller Information Form

SELLER(S) PERSONAL INFORMATION
This information is provided in order for us to obtain information such as mortgage payoffs, that need to be paid at closing. We are required to obtain your social security number for tax purposes. This information is sent via secured link to our secured servers to protect your privacy.

Seller #1*

First NameLast Name

E-mail Address:*

Phone Number:*

Social Security Number*

Seller #2

First NameLast Name

E-mail Address:

Phone Number:

Social Security Number

Enter the Address of the Property Your are selling*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Address other than the property you are selling where we can mail any information after closing*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Is this a rental property?*

YesNo

If yes, are there tenants currently within the rental unit(s)?

YesNo

If property is part of a Home Owners Association, please complete the following section:

How much are the annual dues?

When are they due?

Is there an initiation fee?

YesNo

If so, how much is the initiation fee?

Contact Information for Homeowners Association:

Street Address

CityState / Province

Postal / Zip Code

Phone Number

Email

example@example.com

Mobile/Manufactured Home:

Is there a Mobile/Manufactured Home on the property?*

YesNo

If yes, do you have a physical title?

YesNo

if not, are you able to locate?

Miscellaneous:

is the property in foreclosure?*

YesNo

If any person on the title is deceased, provide us with full name of same so that we may search estate records. If so, please provide a copy of the death certificate.

Upload death certificate:

If any person on title has declared bankruptcy, provide us with the name so that we may search bacruptcy records:

If any person on the title is currently in a divorce proceeding, provide us with the names so that we may search civil records:

Has any Seller changed names since the purchase of the property?*

YesNo

If yes, please provide us with supporting documents for the name changes, such as marriage license:

Loan Payoff Information

Name of Mortgage Company

Loan Number

Phone Number

2nd Mortgage Company (if any)

2nd Mortgage Loan Number

2nd Mortgage Phone Number

As the seller, you are generally, required to attend closing. However, you are unable to attend and need to appoint a power of attorney for one or more of the seller's, we can prepare a power of attorney. The cost of that is $200.

Will you attends closing?

YesNo

If not, please rovide the FULL LEGAL NAME of the personwho will attend on your behalf and act as power of attorney:

NOTE: This is not Power of Attorney. It simply provides us the name of the person who will act as your Power of Attorney.

AUTHORIZATION TO OBTAIN PAYOFF
I hereby authorize Darley Law Firm to receive payoff information, loan status information, and any other information related to the above referenced loans in order to facilitate the sale of this property. In the event one of the above referenced loans is a home equity line of credit/credit line, this authorization shall immediately freeze said credit line upon issuance of lender’s payoff statement demand.

Digital Signature of Seller #1*

Digital Signature of Seller #2