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.

CAPTCHA

Comments

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