New Customer Registration Form

IT IS IMPORTANT THAT ALL APPLICABLE INFORMATION BE FILLED IN COMPLETELY TO ENSURE A SMOOTH CLOSING.

PLEASE FEEL FREE TO CONTACT THIS OFFICE SHOULD YOU HAVE ANY QUESTIONS REGARDING THE ABOVE INFORMATION.

Full Name*

First NameMiddle NameLast NameSuffix

Full Name

First NameMiddle NameLast NameSuffix

Full Name

First NameMiddle NameLast NameSuffix

Property Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Forwarding Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

E-mail*

example@example.com

Phone Number

E-mail

example@example.com

Phone Number

E-mail

example@example.com

Will this be your:

Primary ResidenceSecondary ResidenceVacation HomeOther

If you answered Other above, please specify:

Will you be purchasing this property in a name(s) other than that of an Individual(s)?

YesNo

If Yes, please provide the name of Trust/Corporation/LLC/Estate/Other

Authorized Signor(s) name/Title:

Is this member attending closing?

YesNo

Please forward as applicable to brionna@blakelawga.com:

● LLC Corp Docs: Operating Agreement / Articles of Organization / Secretary of State Filing / Corporate
Resolution / Signing Authority
● Last Will and Testament (if existing) / Letters Testamentary / Letters of Administration / Death Certificate ● Full copy of the Trust (a Trust Affidavit is not sufficient)
● Proof of Marriage Certificate / Name Change Order / Divorce Decree

PLEASE ADVISE OF ANY SPECIAL CONDITIONS THAT WILL NEED TO BE ADDRESSED PRIOR TO CLOSING. FAILURE TO DISCLOSE CAN RESULT IN DELAYS IN CLOSING!

Has there been a change of name for any individual purchasing the property in recent months?

YesNo

If yes, please provide details:

Blake Law Group, LLC recommends strongly that all parties should plan to attend closing in person but we understand that some situations make it difficult to attend and we want to work with you to accommodate these situations to the best of our ability

Will one or more Buyer(s) be unable to attend closing?

No, I/We will come into the office to signYes, I/We would like to assign a power of attorney to sign on my behalf (Additional charges apply)Yes, I would like a mailaway closing (Additional charges apply)Yes, I would like to schedule an appointment for signing

This transaction will be:

CashLenderOwner FinancingOther

If you answered Other, please specify:

Lender Company Name

Loan Officer Name (if applicable)

Contact Email

Blake Law, LLC recommends strongly that all parties should plan to attend closing in person but we understand that some situations make it difficult to attend and we will work with you to accomodate these situations as they arise.

Will one or more borrower(s) be unable to attend closing?

No, I/We will come into the office to sign.Yes, Please provide available options for non-attendance on a lender financed closing (Your point of contact will reach out to you with options and there are additional fees for non-attendance transactions)

Will any individual not listed on the contract or on the loan be added to title following closing? (This must be lender approved)

YesNo

If yes, what is their name as it will appear on the deed? (Please forward a copy of a government issued photo ID for the individual being added to title to brionna@blakelawga.com)

Please forward a copy of your government issued photo ID (or) your Resident Alien Greencard to:

brionna@blakelawga.com

BUYER INFORMATION SHEET