Property Address:

Seller Information for Closing

Seller Name:

Seller Email Address

Seller Forwarding Address

Closing Date:(yyyy-mm-dd)

Closing Time:

Best Contact Phone Number:

Seller Social Security Number:

(required for payoff request and 1099 reporting)

Seller One:

Seller Two:

Has the property being sold been used as seller’s primary residence for 2 out of the last 5 years?

Is the seller a U.S. Citizen?

If Seller is an entity (corporation, partnership, LLC etc.) please provide:

Officer executing documents:

Title:

NOTE: If seller is a corporation, a corporate resolution and a corporate seal are required In addition,
corporate authority documents must be reviewed prior to closing. If seller is a trust, the trust documents
must be reviewed prior to closing.

HOMEOWNERS ASSOCIATION

Is there a home owner’s association?

If so, please provide contact information for the association:

HOA Phone Number:

LOANS SECURED BY THE PROPERTY:

Lender Name for first mortgage:

Account Number:

Phone Number:

Lender Name for Second Mortgage:

Account Number:

Phone:

I HEREBY GIVE TISINGER VANCE, PC, ATTORNEYS AT LAW, AND ITS AGENTS, AUTHORIZATION TO OBTAIN
INFORMATION ON MY ACCOUNTS, SUCH AS PAYOFFS REQUESTED, PAYMENTS MADE AND SIMILAR
INQUIRIES:
AGREE

ADDITIONAL INFORMATION:

Seller must bring a government issued photo ID to closing
Any required funds due at closing must be delivered by wire transfer.
If you have any questions, please do not hesitate to call. Thank You.
This completed form will be emailed to amahs@tisingervance.com

To submit this form, check the box below and click send.