SELLER INTERVIEW FORM

SELLER INTERVIEW FORM
(All lines must have an answer, example N/A if it does not apply to the Title of the Home)
CUSTOMER FILE*
SELLER'S CURRENT INFORMATION
Full Name*
Mailing Address (after sale):*

Address

Street Address Line 2

CityState / Province

Postal / Zip Code
State*
Zip*
Must provide 2 different phone #'s for contact Use nearest Relative phone # & state relationship if necessary
Home
Work
Cell
Email Address*
example@example.com
Employer Name and Address*
MANUFACTURED/MOBILE HOME TITLE INFORMATION
Where is the original title now*
Is the Title Affixed, Canceled, Surrendered or Purged to the Land?*

YesNo
If YES please provide county and state confirmation documents. File Upload

Cancelof
Has the home been moved to another county or state?*

YesNo
If YES please explain below:
List all names stated on the mobile title below Exactly as presented on the title*
Has there been a Marriage:*

YesNo
Has there been a Divorce:*

YesNo
Has there been a Death:*

YesNo
Which affects ownership of the home?

Name changes may require additional documentation such as but not limited to: Marriage Certificates, Divorce Decrees, Drivers licenses with name change applied for or will be, Death Certificate, Probated Will, etc
LIEN HOLDER INFORMATION
Is There a Lien on The Home?*

YesNo
Lien Holder
Account
Lien Holder Address
Phone Number
City
State
Zip Code
Santiago Financial Inc. 161 Fashion Lane Suite 206 Tustin, CA 92780 714-731-8080 Fax 714-731-3908 info@santiagofinancial.com
Should be Empty:

Must provide 2 different phone #'s for contact Use nearest Relative phone # & state relationship if necessary