1. CONTACT INFORMATION FOR YOU AND YOUR REALTOR

Name *

Phone *

Email *

Spouse or Co-Buyer’s Email (required if married or buying with another person)

Property Address *

Current Mailing Address(Include Street Address, City, State ZIP) *

Realtors Name and Company *

Realtor’s Phone *

Realtor’s E-mail *

2. LOCATION FOR CLOSING

Will you be present (local) for closing? *
YesNo

If “No,” contact us at least 10 days before close to discuss receiving & executing closing docs.

If you will not be in town for closing, we can either email you the documents to print and sign or we can overnight them to you (UPS). Either way they will need to be signed in front of a Notary Public.

3. PERSONAL INFORMATION

The deed will be prepared by Bright Light Land Title Company, LLC. The next two questions are needed to prepare the deed. IF YOUR MARITAL STATUS WILL CHANGE BEFORE CLOSING, WE MUST BE NOTIFIED IMMEDIATELY.

Marital Status *
UnmarriedMarried

Is the property you are buying going to be your primary residence? *
YesNo

Are you a US Citizen or a Lawful Permanent Resident? *
YesNo

Have you bought and or sold real estate before? *
YesNo

Have you been a part of three or more real estate transactions?
YesNo

When was your last transaction?

If the subject property is in a Homeowner’s Association, please note we will need to provide your contact information to the Association prior to closing.

4. MORTGAGE INFORMATION (IF APPLICABLE)

Name of lending institution

Lending institution’s email

Lending institution’s phone (if you have it)

5. ACKNOWLEDGEMENT OF FINANCIAL RESPONSIBILITY AND AUTHORIZATION OF RELEASE OF INFORMATION

We, the undersigned, do acknowledge and agree that I/we are financially responsible for any costs incurred on our behalf in
conjunction with the purchase/sale of the property. Bright Light Land Title Company, LLC, may order items on our behalf as a
courtesy and assumes no liability for payment/re-payment of items should the transaction fail to close for any reason. Items
ordered may include a title search, lien search, survey, elevation certificate, and WDO (termite) inspection,

Refer to your real estate sales contract and any addenda for clarification regarding which items you may be responsible for
paying at the time of closing, cancellation, or in the event of default.

FUNDS FOR CLOSING (Except EMD) in excess of $10,000 are required to be a wire transfer. ACH payments, bill payer services, or personal checks will not be accepted. Wiring Instructions will be provided prior to closing.

Effective July 1, 2023, the “Conveyances to Foreign Entities Act” (the “Act”) found in sections 692.201-692.205, Florida Statutes, restricts the ability of certain foreign persons and entities to acquire title to real property in Florida.

Further, I/We, authorize Bright Light Land Title Company and its agents, to release our Closing Disclosure and/or Settlement Statement containing all the details and numbers for closing to our Realtor and their Broker.

By checking this box you agree to receive recurring messages from BRIGHT LIGHT LAND TITLE COMPANY, Reply STOP to Opt out. Reply HELP for help. Message frequency varies. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. No mobile information will be shared with third parties / affiliates for marketing/promotional purposes. All OPT-IN requests include text messaging originator opt-in data and consent; this information will not be shared with third parties.

Signature *

Signature (if additional buyer)