EmailMe Form - SELLER INFORMATION FORM

Please be advised that we charge sellers the following fees:

$150 Facilitation Fee. This fee will be on the closing disclosure and deducted from the sale proceeds. This fee does not apply to entity-sellers (corporations, LLCs, etc.). This covers ordering HOA accountings, ordering mortgage payoffs, communicating/meeting with sellers and clearing title defects.

$100 Document Preparation Fee. This is discussed in detail in the seller transfer packet section of this form.

$55 Mortgage Cancellation Fee. We add $35 to this fee for each additional mortgage cancellation. This covers expenses associated with wiring/express mailing payoffs and following up with the lender to ensure that the mortgage is cancelled in the public record.

DATE FORM COMPLETED *

MM / DD / YYYY

EXPECTED DATE OF CLOSING

MM / DD / YYYY

If Known

1.0 PRIMARY SELLER'S INFORMATION

Primary Seller's Name *

First MI Last

If Corporate Entity, put an "x" in the First Name field and only fill in the Last Name

Primary Seller's SSN or Tax ID # *

(Required for Ordering Payoffs and Filling Out IRS 1099 Forms)

Please enter without dashes.

Primary Seller's Email Address *

Primary Seller's Preferred Phone Number *

### - ### - ####

Primary Seller's Optional Phone Number

### - ### - ####

Will the Primary Seller attend closing? *

Yes

No

Maybe

Primary Seller's Marital Status *

Married

Single

Divorced

Separated

Widowed

N/A

** PLEASE NOTE THAT IF YOU ARE MARRIED BUT YOUR SPOUSE IS NOT ON THE DEED, YOUR SPOUSE STILL NEEDS TO SIGN SELLER TRANSFER DOCUMENTS TO DISSOLVE THEIR MARITAL RIGHTS. **

Is the Primary Seller a U.S. Citizen? *

Yes

No

Other (Permanent Resident Alien)

** IF YOU ARE NOT A U.S. CITIZEN OR A PERMANENT RESIDENT ALIEN, PLEASE CONTACT OUR OFFICE AS SOON AS POSSIBLE. YOU MAY BE REQUIRED TO FILL OUT ADDITIONAL FORMS. **

Primary Seller's Forwarding Address *

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

Did Primary Seller Occupy The Property As A Principal Residence? *

Yes

No

1.1 SECONDARY SELLER'S INFORMATION

Please Complete if Applicable

Secondary Seller's Name

First MI Last

If Corporate Entity, put an "x" in the First Name field and only fill in the Last Name

Secondary Seller's SSN or Tax ID #

Please enter without dashes. (Required for Ordering Payoffs and Filling Out 1099 Forms)

Secondary Seller's Email Address

Secondary Seller's Preferred Phone Number

### - ### - ####

Secondary Seller's Optional Phone Number

### - ### - ####

Will the Secondary Seller attend closing?

Yes

No

Maybe

Secondary Seller's Marital Status

Married

Single

Divorced

Separated

Widowed

N/A

** PLEASE NOTE THAT IF YOU ARE MARRIED BUT YOUR SPOUSE IS NOT ON THE DEED, YOUR SPOUSE STILL NEEDS TO SIGN SELLER TRANSFER DOCUMENTS TO DISSOLVE THEIR MARITAL RIGHTS. **

Is the Secondary Seller a U.S. Citizen?

Yes

No

Other (Permanent Resident Alien)

** IF YOU ARE NOT A U.S. CITIZEN OR A PERMANENT RESIDENT ALIEN, PLEASE CONTACT OUR OFFICE ASAP. YOU MAY BE REQUIRED TO FILL OUT ADDITIONAL FORMS. **

Secondary Seller's Forwarding Address (if different from Primary Seller)

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

COMPLETE IF ADDRESS IS DIFFERENT FROM PRIMARY SELLER'S

Did the Secondary Seller Occupy The Property As A Principal Residence?

Yes

No

1.2 Information About the Listing Firm and Broker

Listing Broker's Firm *

Enter NONE if not applicable

Listing Broker's Name *

Enter NONE if not applicable

Listing Broker's Office Phone Number

### - ### - ####

Listing Broker's Cell Phone Number

### - ### - ####

Listing Broker's Email

1.3 HOMEOWNER'S ASSOCIATION INFORMATION

Are There Homeowner's Association Dues Levied on this Property? *

Yes

No

If so, we will need to contact them to get amounts of the fees and dues to be paid at closing.

HOA #1 Name

HOA #1 Management Company

HOA #1 Contact Phone

### - ### - ####

HOA #1 Contact Email

HOA #1 Website (if applicable)

HOA #2 Name

HOA #2 Management Company

HOA #2 Contact Email

HOA #2 Contact Phone

### - ### - ####

HOA #2 Website (if applicable)

1 / 4