Seller Intake Form

SELLER INTAKE
Agent and Real Estate Company*
If by Seller, no agent, type "Seller"
Address of property being sold*
Street number and Street name
Sellers Agent Commission blanks*%. Buyers Agent Commission blank*%.
Seller-1 : Full Legal Name (if company include where incorporated) *
Last, First Middle
Seller-1 : Status*

MarriedSingleSeparatedDivorcedCorporationTrustee/ Representative/ Executor
Seller-2 : Full Legal Name (if company include where incorporated) *
Type "n/a" if not applicable
Seller-2 : Status*

MarriedSingleSeparatedDivorcedCorporationN/A
Seller-1 Email*
example@example.com
Seller-1 Phone Number*
Please enter a valid phone number.
Seller-1 Forwarding Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Will the Sale include payoff of Loan(s)?*

YesNo
First Lender Name *
Type "n/a" if not applicable
First Loan Number *
Type "n/a" if not applicable
First Lender Phone*
Please enter a valid phone number.
First Lender Email
Second Lender Name
Second Loan Number
Second Lender Phone
Please enter a valid phone number.
Second Lender Email
List Others to be paid at closing *
Type "n/a" if not applicable
Is there any Homeowners Association, Management Company or other associations*

YesNo
Association / Management Company - I*
Type "n/a" if not applicable
Phone*
Type "n/a" if not applicable
Association / Management Company - II
Phone
Other Associations or maintenance payees, etc.
We will be happy to prepare the deed for you. If we are representing the Buyer in the transaction, Seller Deed Package fee is $175. If we are ONLY representing the Seller, the Deed Package fee is $250.
Would like us to prepare Deed, Package:*

YesNo
If No, please provide attorney name who is preparing Deed*
Email for Attorney*
example@example.com
Other instructions*
Type "n/a" if not applicable
Should be Empty:

SELLER INTAKE