Buyer Info 1. CONTACT INFORMATION FOR YOU AND YOUR REALTOR Name * Phone * Email * Property Address * Current Mailing 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 If married, (for homestead purposes), spouse’s name 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) REALTORS BUYERS & SELLERS LENDERS GET IN TOUCH Phone: (850) 279-6900 Fax: (877) 768-6534 Order Title