Seller Intake Form

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

Seller-2 : Full Legal Name (if company include where incorporated)

Type "n/a" if not applicable

Seller-2 : Status

Seller-1 Email

example@example.com

Seller-1 Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Seller-1 Forwarding Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Will the Sale include payoff of Loan(s)?

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.Format: (000) 000-0000.

First Lender Email

Second Lender Name

Second Loan Number

Second Lender Phone

Please enter a valid phone number.Format: (000) 000-0000.

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

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:

If No, please provide attorney name who is preparing Deed

Email for Attorney

example@example.com

Other instructions

Type "n/a" if not applicable

SELLER INTAKE