Buyer's Information Form

Please Pick Below the Answer Which Best Describes Buyer(s):

Buyer:

Name:

Email:

Phone:

Address of Property You Are Buying:

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Current Mailing Address:

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Post Closing Mailing Address:

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

The Property will be:

Property Other:

Marital Status:

Spouse:

Name:

Phone:

Email:

Which Spouse Should Be Our Primary Point of Contact?

Spouse 1:

Name:

Phone:

Email:

Spouse 2:

Name:

Phone:

Email:

Address of Property You Are Buying:

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Current Mailing Address:

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Post Closing Mailing Address (If different from current mailing address and different from property address):

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

The Property will be:

Property Other:

Address of Property You Are Buying:

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Buyer 1:

Name:

Marital Status:

Email:

Phone:

Current Mailing Address:

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Post Closing Mailing Address (If different from current mailing address and different from property address):

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Buyer 2:

Name:

Marital Status:

Email:

Phone:

Current Mailing Address:

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Post Closing Mailing Address (If different from current mailing address and different from property address):

Address Line 2:

City:

State:

Zip Code:

The Property will be:

Property Other:

Address of Property You Are Buying:

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

How Many Buyers?

Buyer 1:

Name:

Marital Status:

Email:

Phone:

Current Mailing Address:

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Post Closing Mailing Address (If different from current mailing address and different from property address):

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Buyer 2:

Name:

Marital Status:

Email:

Phone:

Current Mailing Address:

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Post Closing Mailing Address (If different from current mailing address and different from property address):

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Buyer 3:

Name:

Marital Status:

Email:

Phone:

Current Mailing Address:

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Post Closing Mailing Address (If different from current mailing address and different from property address):

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Buyer 4:

Name:

Marital Status:

Email:

Phone:

Current Mailing Address:

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Post Closing Mailing Address (If different from current mailing address and different from property address):

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Please List Below the Name(s), Marital Status, and Other Contact Information for the Additional Sellers

Will the Property the Primary Residence ("Homestead") of any of the Buyers?

For Which Buyer(s) will the Property Primary Residence ("Homestead")?

Name of the Business Entity:

Type of Entity?

Entity Type Other:

State (Country) of Incorporation / Organization / Origin?

Name and Title of Officer / Manager Responsible for this Transaction

Email Address of Officer / Manager Responsible for this Transaction

Telephone Number of Officer / Manager Responsible for this Transaction

Address of Property You Are Buyer:

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Company Address for Correspondence Relating to this Transaction:

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Name of Contact Person:

Email Address of Contact Person:

Telephone Number of Contact Person:

Address of Property You Are Buyer:

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Post Closing Forwarding Address (if known):

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Name of Contact Person:

Email Address of Contact Person:

Telephone Number of Contact Person:

Address of Property You Are Buyer:

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Post Closing Forwarding Address (if known):

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Please briefly explain your circumstances / needs:

Miscellaneous:

Do you intend to close i.e. execute your closing documents in person at our offices in Melbourne, Florida, or will you be closing from a remote location i.e. "mail away closing"?

If you are obtaining mortgage financing to purchase the property, please check the box below:

Please provide your lender's contact information below:

Is There Anything You Think We Should Know?

Please Enter the Email Address of the Person Completing this Form to Receive a Confirmatory Email:

Is There Anything You Think We Should Know?

Enter the Characters Shown Below