Buyer Questionnaire

Buyer 1 Information

Buyer 1 Name*

Social Security#*

Marital Status*

Email*

Cell Phone*

Home Phone

Work Phone

Fax

How do you wish to take title to the property?*

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.

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.

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.

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?*

Please note, there is a $200 closing accommodation fee for parties who are not attending closing.

Will Accurate Title prepare it?*

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

Association Name

Association Phone

Management Company

Management Phone

Contact Email

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.

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Name

This field is for validation purposes and should be left unchanged.