I /we, the undersigned, hereby certify that all of the information provided on this Buyer Information Form is true, correct and accurate to the best of our knowledge. I/we also acknowledge that providing false information in an attempt to commit fraud could subject us to state and federal criminal and civil penalties. We agree to pay VELOCITY TITLE COMPANY any and all fees due and owed pursuant to terms of the purchase contract. Pursuant to Florida Statute 626.954, I/we agree to reimburse VELOCITY TITLE COMPANY for any monetary advances made on my/our behalf for items, including but not limited to, estoppels, lien searches, application fees, etc. if applicable.
PLEASE MAKE SURE TO SEND CLEAR COPIES OF THE DRIVER'S LICENSE AND/OR PASSPORT FOR ALL CONCERNED PARTIES WITH THIS FORM.