Seller Form - Broker's Title & Closing, LLC

Please complete all information. We will need the correct spelling of your name(s) and Social Security number(s). If the buyer is a corporation, partnership, limited liability company, or trust, please provide name of the entity and the Tax ID#. Please also forward us a copy of your trust.

Property Information

Property Being Sold(Required)

Street Address Address Line 2 City State ZIP Code

Seller Information

We will need the correct spelling of your name(s) and Social Security number(s). If the buyer is a corporation, partnership, limited liability company, or trust, please provide name of the entity and the Tax ID#. Please also forward us a copy of your trust.

Seller Name(Required)

Seller SS# or TAX ID

If you prefer, you may call our office to provide this information.

Seller Address(Required)

Street Address Address Line 2 City State ZIP Code

Cell Phone

Marital Status

Is there a second seller?(Required)

Yes

Seller 2 Information

Seller 2 Name

Seller 2 SS# or TAX ID

If you prefer, you may call our office to provide this information.

Seller 2 Address(Required)

Street Address Address Line 2 City State ZIP Code

Seller 2 Cell Phone

Seller 2 Email

Seller 2 Marital Status

Sale Info

Seller(s) Attending Closing?(Required)

Will all parties on title (including spouse to release homestead) be attending this closing?

Yes

Deed Prep(Required)

As per the purchase and sale agreement, a deed must be prepared to pass title from seller to buyer. Unless otherwise agreed upon, responsibility of preparation falls to the seller. Who will the deed be prepared by?

Broker's Title & Closing, LLC (fee: $250 to be added to settlement statement and collected at closing)

Other

Deed Preparer(Required)

Please provide the name and full contact info. for the contact who is preparing the deed. We will need to review the deed at least one week prior to closing.

Proceeds(Required)

How would you like your proceeds?

Bank Certified Check (cost: $100) typically only required if funds needed same day

Wire (cost: $100)

Company Check (no charge; be advised that Broker's Title is not responsible for bank hold times. Contact your bank for details.)

I/We are buying another property the same day and need funds transferred. A $100 wire fee will apply.

Title Company/Attorney Contact for New Purchase

Title Company Phone

Title Company Email

Unusual Circumstances(Required)

Was this property your primary residence?

Primary Residence?(Required)

Was this property your primary residence?

Yes

Property Info

Property Type(Required)

Multiple Parcels(Required)

Does your deed contain more than one parcel of land?

Yes

Additional parcel details(Required)

If your deed contains more than one parcel of land, please indicate if you are selling all property in the deed or which parcel will be conveyed. Please provide as much information as possible (i.e. tax map/lot, legal description, acreage of parcel being conveyed).

Condo or PUD?(Required)

Is your property in a condominium or planned unit development association?

Yes

Condo/PUD Contact(Required)

Provide the contact name and telephone# for the association.

Mobile Home Park?(Required)

Is your property located within a Mobile Home Park?

Yes

Park Contact(Required)

Provide the contact name and telephone# for the mobile home park.

Water Source(Required)

Public Water

Private Well

Water Service Company(Required)

Sewer Source(Required)

Public Sewer

Private Septic

Sewer Service Company(Required)

Property Taxes Paid to Date?(Required)

If you have an outstanding tax bill and pay it prior to closing, please notify us of your intention and bring the paid receipt to closing.

Yes

Mortgages

How many mortgages and/or Home Equity Lines of Credit (HELOC) do you have?(Required)

none

Lender 1(Required)

Lender 1 Account#(Required)

Lender 1 Phone(Required)

Lender 1 Last Payment Date(Required)

Lender 2(Required)

Lender 2 Account#(Required)

Lender 2 Phone(Required)

Lender 2 Last Payment Date(Required)

Lender 3(Required)

Lender 3 Account#(Required)

Lender 3 Phone(Required)

Lender 3 Last Payment Date(Required)

Consent & Disclosures

Click below to download additional disclosure forms.

Non-representation Disclosure
Wire Fraud Disclosure
Preparing for Closing
Privacy Policy
Affiliated Business Arrangement Disclosure

Document Distribution(Required)

I/We authorize Broker's Title & Closing, LLC to distribute a copy of my/our ALTA Settlement Statement to real estate professionals involved in this transaction and my attorney (if applicable):

Yes

Signature(Required)

Left click and drag your mouse to sign below.

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