1. CONTACT INFORMATION FOR YOU AND YOUR REALTOR

Name *

Phone *

Email *

Spouse or Co-Buyer’s Email *

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

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

How many transactions?

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. STATEMENT OF FINANCIAL RESPONSIBILITY

Full Name *

6. PAYOFF INFORMATION (navy feD wet signature required), RELEASE & acknowledgement

(i) I/we, the undersigned, authorize BLLT to receive any payoff information regarding my/our loan(s), and speak to the respective lender(s) regarding the same (if applicable). (ii) I/We authorize BLLT to release our final Closing Disclosure and Settlement Statement to our Realtor (if applicable). (iii) I/we may be responsible for paying at the time of closing or in the event of default costs incurred on our behalf in conjunction with the real estate sales contract and any addenda. E.g.: searches (title, permit, lien, code), surveys, elevation certificates, WDO (termite) inspection, etc.

Signature *

Signature (if additional seller)