SELLER INFORMATION SHEET

So that we can provide you and your client with the “Very Best” in the title service, we need your assistance. As soon as possible, would you please call, email or fax me with the applicable Seller information from the list below:

GF# 0000000000

Your Name: SSN:000-00-0000 DOB:

Spouse Name: SSN:000-00-0000 DOB:

Phone # (Home): (000) 000-0000 (Work): (000) 000-0000 (Cell): (000) 000-0000

Spouse # (Home): (000) 000-0000 (Work): (000) 000-0000 (Cell): (000) 000-0000

Email: Spouse Email:

What is your current marital status? Single Married Divorced Widowed

Has your marital status changed since the purchase of the property? YES NO

If yes, what has changed?

Have you gotten married? YES / NO To Whom?

When?

Have you gotten divorced? YES / NO To Whom?

When?

Has your spouse died? YES / NO To Whom?

When?

Is this property your homestead? YES NO

First Lien Mortgage Co.: (For Payoff)

Loan Number: Phone #: (000) 000-0000

Second Lien Mortgage Co.: (For Payoff)

Loan Number: Phone #: (000) 000-0000

***IT IS THE RESPONSIBILITY OF THE SELLER/SELLER’S AGENT

TO OBTAIN THE HOMEOWNERS ASSOCIATION PACKAGE***

Is there a mandatory homeowners association? YES NO

Has the Resale Package been ordered? YES NO

Name of Homeowner’s Association: Phone #: (000) 000-0000

Name of Management Company:

Name of Contact: Phone #: (000) 000-0000

Is an Estate, Probate, or Will involved? YES / NO

Will you require a remote closing? YES / NO

(NOTE: If closing via mobile notary, there may be a charge assessed by the mobile notary)

If yes, please provide an address:

Will a Power of Attorney be used for closing? YES / NO

Forwarding Address:

If you have an existing survey, please forward that to our office as soon as possible.

We sincerely look forward to working with you on this transaction.

If the seller information sheet requests for information already provided, please disregard