Real Estate Seller Form

Real Estate Seller Form
1175 REVOLUTION MILL DRIVE, STUDIO 7A & 8

PH: 336-285-5933/336-333-7907 Fax: 336-333-7909

Email: swilliams@revolution.law
Today's Date

MonthDayYear
Date
Closing Date

MonthDayYear
Date
Agent
Agents Email
example@example.com
First Buyer Name

First NameLast Name
Second Buyer Name

First NameLast Name
Seller Doc Prep fee is $225, unless seller requires extra work by our firm to complete their side of the transaction. Costs may be higher if unrepresented by agent, estates, foreclosures, etc.
First Seller

First NameLast Name
Second Seller

First NameLast Name
Property Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Marital Status
If married, spouse's name
Forwarding Address
Seller SS#
Spouse/Second Seller SS#
Seller Telephone Number
Spouse/Second Seller Telephone Number
Seller Email Address
example@example.com
Spouse/Second Seller Email Address
example@example.com
Keys to the House to be delivered by:

Seller AgentBuyer Agent
US Citizen or Resident Alien?

YesNo
Loan Payoff Information
Lender
Telephone
Loan #
Lender
Telephone
Loan #
For the above loans, are you more than 30 days behind on any payment or has the lender notified you about delinquency or a possible foreclosure?

YesNo
Have you filed bankruptcy or had any lawsuit filed against you (other than for divorce) in the last 10 years?

YesNo
If yes, please give us the names of the other party in the lawsuit, the state and county where the lawsuit was filed, and if the judgement is still outstanding:
Home Owners Dues
Management Company
Telephone #
Email address
example@example.com
Are there any known assessments by the HOA (such as roof, private road repair, capital projects)?

YesNo
If yes, please let us know the amount of the assessment and who is paying the assessment at closing (buyer, seller, or split between the parties):

Real Estate Commissions:

	%	Fee
Buyer's Agent
Seller's Agent

Are we to prepare Seller Docs?

YesNo
If our office is not preparing the seller documents, which attorney will be processing the documents, and the amount due? We will need an invoice for closing.
Will Seller(s) attend closing?

YesNo
If No:

Email Seller DocsOvernight Seller Docs Back
Proceeds check to be:

Picked UpSent via FedEx (Please fill out section below for FedEx Delivery) * Please note that we do NOT wire seller proceeds unless they are being sent to the office of another attorney.
Home Warranty Paid by:

BuyerSeller
Cost
Made Payable to
Other Repairs & Costs paid for by the Seller at Closing:
Cost
Made Payable to
Cost
Made Payable to
Cost
Made Payable to
Form for FedEx Delivery

Information Required by Sellers Only if you need your proceeds overnighted:
Date completed

MonthDayYear
Date
Authorized By
Address
City
State
Zip Code
Telephone
Should the information change from the original form, you will need to resubmit this form with new information.
How would you like to be contacted moving forward?*

EmailTextPhone Call
Should be Empty:

Real Estate Seller Form

Loan Payoff Information

Home Owners Dues