BUYER INFORMATION FORM

Please provide the following information so that we can better process your file and comply with stringent lender timelines.

FUNDS FOR CLOSING: All funds for closing must be wired to ensure timely funding.

INVOICES: Invoices and disbursement authorizations must be provided to us no later than 15 days prior to closing. Under the new CFPB guidelines, failure to timely provide such documentation could seriously delay closing.

Buyer Information Form

Contact Information

Buyer Name(s)*

Daytime Phone Number*

Address*

City*

State* AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip Code*

Email Address*

Preferred method of contact

Lender Info (if applicable)

Lender Name

Contact Person

Phone Number

Email Address

Homeowners Insurance Information

Company Name

Contact Person

Phone Number

Email Address

Marital Status

Single

Married

as of (date)

to

Closing Information

Will any Buyer(s) be closing by mail?

Yes

No

Name of Buyer(s)

Will any Buyer(s) be closing through an agent under a Power of Attorney?

Yes

No

Name of Buyer(s)

Name of Agent

Property Information

Will this property be your Homestead or Investment?

Yes

No

Will you be purchasing the property in a trust?

Yes

No

If so, please provide a certification of trust or other documents for review.

Will an entity, such as an LLC or partnership, be purchasing the property as an entity?

Yes

No

If so, please provide the entity documents for review.

Will you be claiming an Over 65 Exemption on the property?

Yes

No

Home Warranty

Please provide the name of the home warranty company and plan you prefer, if applicable.

Company

Options/Plan

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