Buyer Questionnaire

Buyer 1 Information
Buyer 1 Name*
Social Security#*
Marital Status*
Email*
Cell Phone*
Home Phone
Work Phone
Fax
Is there a 2nd Buyer?*
- Yes
- No
Buyer 2 Information
Name
Social Security#
Marital Status
Email
Cell Phone
Home Phone
Work Phone
Fax
Relationship & Ownership
Please fill out these fields if there is more than one borrower...
Relationship of Buyers to Each Other
Please Explain*
How would you like your name to appear on the Deed?*
If spouse is not a borrower on the loan, will spouse be on the deed?
Please include spouse's information in "Buyer 2" section above.
How do you wish to take title to the property?*
A Joint Tenant has a right of survivorship to the other owner(s)’ interest. Upon the death of one owner, his/her interest is automatically transferred to the other surviving joint tenant(s) without probate if you are unsure, you should consult with our office or an attorney for a full explanation.
A Tenant in Common holds an undivided interest in the property, along with other owners. Upon the death of one owner, his/her interest passes to his/her heirs via probate, NOT to the other Tenants in Common - if you are unsure, you should consult with our office or an attorney for a full explanation.
Corporation, LLC or Partnership Information
Corporate Name*
Authorized Signer*
Tax ID*
Title/Position*
Trust Information
Name of Trust*
Trust Tax or SS#*
Date of Trust*
Grantor of Trust*
Insurance Information
(Homeowners or Condominium Units)
A binder will be required reflecting your lender. You can always follow up with Accurate Title once the insurance company has been selected.
Agency
Contact Person
(if available)
Phone#
Policy# (if available)
General Information
Will this be the primary residence for Buyer #1?*
Will this be the primary residence for Buyer #2?*
If property is primary residence, then all buyers & spouses must attend closing for homestead purposes, even if not on deed or mortgage.
Please provide spouse’s legal name:*
Will any of the Buyers be using a power of attorney?*
Will Accurate Title prepare it?*
Condominium, Homeowners Association, Mobile Home or Co-op (If Applicable)
Association Name
Association Phone
Management Company
Management Phone
Amount of Dues
Collected..
If other, indicate schedule*
Realtor Information
Do you have a Realtor?*
- Yes
- No
Realtor's Name
Agent Phone
Amount of Deposit
(If no Realtor is involved)
Who is holding the deposit?*
Acknowledgements
Funds*
- I understand that any funds due must be wired or be in the form of a Cashier’s or Certified check made payable to Accurate Title. I understand that prior to utilizing any wiring instructions we must have verbal confirmation with Accurate Title.
ID*
- I understand that current government issued photo identification will be required from all parties at closing.
Signature
By signing above, I hereby authorize Accurate Title to release completed copies of the Settlement Statement to realtors or attorneys representing parties to this transaction.
Name
This field is for validation purposes and should be left unchanged.

Buyer Questionnaire

Buyer 1 Information

Buyer 2 Information

Relationship & Ownership

Corporation, LLC or Partnership Information

Trust Information

Insurance Information

General Information

Condominium, Homeowners Association, Mobile Home or Co-op (If Applicable)

Realtor Information

Acknowledgements

Title & Closing Services

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