Seller Questionnaire

Type of Ownership

Seller 1 Information

Name*

Social Security#*

Marital Status*

Email*

Cell Phone*

Home Phone

Work Phone

Fax

Is there a 2nd Seller?

Yes
No

Seller 2 Information

Name

Social Security#

Marital Status

Email

Cell Phone

Home Phone

Work Phone

Fax

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Relationship of Sellers to Each Other*

If Other, please explain:*

Estate Information

Estate Name*

Authorized Signatory Name*

Authorized Signatory Title*

Tax ID*

Trust Information

Name of Trust

Trustees

Trust Tax ID or Social Security #

Date of Trust

Grantor of Trust

Corporate LLC Information

Name of Corporation or LLC*

Authorized Signer and Title*

Tax ID#

Shareholders, Members or Partners (Must List ALL)*

Acknowledgement

I understand that you require a resolution or corporate vote to confirm authorization to sell property, confirm who is signing and in what capacity on behalf of the corporation, company or partnership.

Mortgages/Home Equity Lines

Please list all current Mortgages/Home Equity Lines pertinent to this property including loans with a zero dollar balance.

Number of Mortgages/Equity Lines*

Mortgage Company 1 Name*

Phone*

Account#*

FHA Mortgage*

Yes
No

Mortgage Company 2 Name*

Phone*

Account#*

FHA Mortgage*

Yes
No

Additional Mortgages*

Please enter details for any other mortgages related to this property.

NOTE: It is your responsibility to cancel any automatic payments or withdrawals (if applicable).

I authorize ACCURATE TITLE to receive any and all information with regard to my/our loans.*

Condo Information, Homeowners Association, Mobile Home or Co-op (if applicable)

Association Name

Association Phone

Management Company

Management Phone

Amount of Dues

Payment Frequency

If Other...

Water/Sewer Utilities

Water*

Public Water
Private Well
Shared Well
N/A - Land Only

Water Company Name

Water Company Phone

Sewer*

Public Sewer
Private Septic
Shared Septic

Sewer Company Name

Sewer Company Phone

Are fees included in association fee?

Tax Info

Tax Bill Copies

Max. file size: 50 MB.

Other Costs

Are you aware of any other costs or fees associated with the property charged or collected by any other parties?

Deed & Power of Attorney

Note: ALL Sellers and spouses MUST attend the closing even if not listed as a property owner (if primary residence). Enter the legal name(s) for any spouse(s) not listed as an owner.

Deed Prep*

Deed Preparer Name*

Deed Preparer Email*

Deed Preparer Phone*

Power of Attorney*

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

Will Accurate Title Prepare the Power of Attorney*

General Information

Note: ALL Sellers and spouses MUST attend the closing even if not listed as a property owner (if primary residence). Enter the legal name(s) for any spouse(s) not listed as an owner.

Primary Residence*

Is this property your primary residence?

Primary Address for Seller #1

Primary Address for Seller #2

Do you want your proceeds WIRED for a fee of $45?*

Yes
No

Realtor Info.

Realtor Name

Realtor Phone

Acknowledgements

Funds*

I understand that any funds due must be by a Cashier's or Certified check payable to Accurate Title.

ID*

I understand that all Sellers and spouses must bring a photo ID to the closing.

Wire Transfers*

ALL wire instructions given or received must be confirmed verbally. Do not rely solely on any e-mails requesting a wire or changing wire instructions.

Authorization*

The undersigned authorize ACCURATE TITLE to receive any and all information with regard to my/our loans.

Use your mouse or touchpad to sign below.

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