SELLER INFORMATION
Property Address
*
Forwarding Address
*
SELLER NAME & SOCIAL SECURITY NUMBER
Seller 1
*
First Name
Middle Name
Last Name
SS #
*
Please enter you Social Security Number
Date of Birth
*
-
Month
-
Day
Year
Date
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Seller 2 (if applicable)
First Name
Middle Name
Last Name
SS Number
*
Please enter you Social Security Number
Date of Birth
*
-
Month
-
Day
Year
Date
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Seller 3 (if applicable)
First Name
Middle Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
SS Number
*
Please enter you Social Security Number
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
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Are the sellers lawful permanent residents (under FIRPTA) or citizens of United States of America?
*
Yes
No
Are Sellers Maryland Residents
*
Yes
No
Are You Using or Need a Power of Attorney?
*
Yes
No
Do you Need a POA Created
*
Already have one
Need one
Please Provide your POA for Underwriter Review
*
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Is remote closing needed? (additional fees will apply)
*
Yes
No
Preferred Location
*
Property Addresss
Forwarding Address
Other
Preferred Signing Address
*
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PAYOFF INFORMATION
Lender Name
Leave blank if you do not have a mortgage
Loan #
*
Lenders Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Additional Lender Name/HELOC (If Applicable)
Leave blank if you do not have a mortgage
Loan #
*
Lenders Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
HOA/CONDO INFORMATION
Name of Management Company:
Leave blank if there’s no HOA
Management Company Phone Number
*
Format: (000) 000-0000.
HOA/Management Company Address
*
HOA re-sale package reimbursement?
No
Yes (Enter Price Below)
Is home warranty being purchased by the seller?
No
Yes (Enter Price Below)
Are inspections being performed?
*
Yes
No
Proposed Date For Inspections
/
Month
/
Day
Year
Date
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Additional Information and charges at closing
Please provide any
Please provide any additional document pertinent to this transaction
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