Seller's Information Form

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

Owner:

Name:

Email:

Phone:

Address of Property You Are Selling:

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Current Mailing Address (if different than property):

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Post Closing Forward Address (if known and different than current mailing address):

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

The Property was:

Property Other:

Marital Status:

Spouse:

Name:

Phone:

Email:

Are you a United States Citizen?:

Which Best Describes Your Status:

Other:

Which Spouse Should Be Our Primary Point of Contact?

Spouse 1:

Name:

Phone:

Email:

Spouse 2:

Name:

Phone:

Email:

Address of Property You Are Selling:

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Current Mailing Address (if different than property):

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Post Closing Forward Address (if known and different than current mailing address):

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Citizenship: Are Both Spouses Citizens of the United States of America?

Citizenship: Please Pick Below:

Other:

The Property will be:

Property Other:

Address of Property You Are Selling:

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Seller 1:

Name:

Marital Status:

Email:

Phone:

Current Mailing Address (if different than property):

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Post Closing Forward Address (if known and different than current mailing address):

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

The Property will be:

Other:

Seller 2:

Name:

Marital Status:

Email:

Phone:

Current Mailing Address (if different than property):

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Post Closing Forward Address (if known and different than current mailing address):

Address Line 2:

City:

State:

Zip Code:

The Property will be:

Other:

Citizenship: Are Both Sellers Citizens of the United States of America?

Citizenship: Please Pick Below:

Other:

Address of Property You Are Selling:

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

How Many Sellers?

Seller 1:

Name:

Marital Status:

Email:

Phone:

Current Mailing Address (if different than property):

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Post Closing Forward Address (if known and different than current mailing address):

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Seller 2:

Name:

Marital Status:

Email:

Phone:

Current Mailing Address (if different than property):

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Post Closing Forward Address (if known and different than current mailing address):

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Seller 3:

Name:

Marital Status:

Email:

Phone:

Current Mailing Address (if different than property):

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Post Closing Forward Address (if known and different than current mailing address):

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Seller 4:

Name:

Marital Status:

Email:

Phone:

Current Mailing Address (if different than property):

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Post Closing Forward Address (if known and different than current mailing address):

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

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

Citizenship: Are All Sellers Citizens of the United States of America?

Citizenship: Please explain:

Is the Property the Primary Residence ("Homestead") of any of the Sellers?

For Which Seller(s) is 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 Being Sold:

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 the Trust:

Name(s) of Trustee(s):

Email Address of Trustee:

Telephone Number of Trustee:

Address of Property Being Sold:

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Current Mailing Address of Trustee (if different than property address):

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Post Closing Forwarding Address (if different than the property address and known):

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Name of Contact Person / Seller's Representative:

Email Address of Contact Person / Seller's Representative:

Telephone Number of Contact Person / Seller's Representative:

Address of Property Being Sold:

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Current Mailing Address of Contact Person / Responsible Party (if different than property address):

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Post Closing Forwarding Address (if different than the property address and known):

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

Please Explain the Circumstances Below:

Miscellaneous:

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

Mortgage(s): Please indicate below whether you have any mortgage(s) on the property. If you answer "Yes", we will follow up with you to collect information needed to obtain a payoff statement from your mortgage holder.

Is there a Homeowners Association(s) "HOA" / Condominium Association(s):

Please provide name HOA / Condo Association Name and Contact Info 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:

Enter the Characters Shown Below