EmailMeForm
Buyer's Intake Form
Dear Buyer/Borrower,
In order for American Real Title to better serve you, the following additional information is required to prepare for your closing on the property.
PLEASE NOTE THAT ALL INCOMING WIRES INCUR A FEE OF $5.00 EACH WHICH IS CHARGED BY SANIBEL CAPTIVA COMMUNITY BANK. THIS WILL BE CHARGED ON YOUR SETTLEMENT STATEMENT AT CLOSING OR DEDUCTED FROM YOUR FUNDS IF FUNDS ARE BEING RETURNED UNDER A CANCELLATION OF CONTRACT.
By checking this box you hereby consent to submitting the following information electronically, that you are authorized to do so, and that all information provided is truthful and accurate.
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Yes
If for any reason you are unable to check this box please call 239-768-0144 for further instructions.
Closing Property Address:
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Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Please fill in entire address including any Suite or Apt#s
Buyer (1) Full Legal Name:
*
Please include Middle Name
Buyer (1) Phone
*
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Buyer (1) Marital Status:
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Married
Single
H & W
Buyer (1) Cell
*
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Buyer (1) Gender
*
Male
Female
Buyer (1) Email
*
Buyer Mailing Address
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Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Buyer (2)
If there is a secondary buyer listed, please provide information below.
Buyer (2) Full Legal Name:
Please include Middle Name
Buyer (2) Phone
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Buyer (2) Marital Status:
Married
Single
H & W
Buyer (2) Cell
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-
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-
####
Buyer (2) Gender
Male
Female
Buyer (2) Email
Property Specific Information
Will the Buyer(s) be attending closing at our offices or will the closing be done remotely?
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Office
Remotely
Will the purchased property be the Buyers Primary Residence?
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Yes
No
Will the Buyer be obtaining a loan?
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Yes
No
Lender's Contact Information, if applicable.
Please include name, phone, email and address
Will documents be executed by a Power of Attorney? If so, please provide the executed POA.
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Yes
No
File Upload (If you have a digital copy of your Executed POA you may upload it here. Accepted file types are PDF, .doc. .txt, .zip)
Any additional comments or information we may need?
Leave blank if no.
