1. CONTACT INFORMATION FOR YOU AND YOUR REALTOR

Name *

Email *

Spouse or Co-Seller’s Email *

Phone *

SSN(s)/EIN/TIN *

Property Address *

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

Realtor’s Name *

Realtor’s Company *

Realtor’s Phone *

Realtor’s E-mail *

Total Commission % and Split *

2. TAX AND PERSONALIZED SERVICE INFORMATION

Is this a sale of your primary residence? *
YesNo

Have you sold real estate before? *
YesNo

Year of last sale?

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

**When signing your seller documents for a Florida transaction you MUST have a Notary Public AND for the deed a witness. If closing remotely be sure to arrange for both. If you close at our office, we will provide both.**

3. DEED INFORMATION

Marital Status *
UnmarriedMarried

IF YOU ARE MARRIED AND THIS IS OR EVER WAS YOUR HOMESTEAD PROPERTY, YOUR SPOUSE WILL BE REQUIRED TO SIGN AT CLOSING.

IF YOUR MARITAL STATUS WILL CHANGE BEFORE CLOSING, WE MUST BE NOTIFIED IMMEDIATELY.

Forwarding address (req’d by clerk of court) (City, State ZIP) *

4. SELLER CURRENT MORTGAGE (PAYOFF) INFORMATION

1st Mortgage: *
YesNo

Equity Line/2nd Mortgage/Private Mortgage *
YesNo

5. ADDITIONAL INFORMATION

Is the subject property a Homeowner’s Association? *
YesNo
if yes, an Estoppel letter is required

Last payment (date & amount)

If applicable, HoA Contact Name

HoA Phone

HoA Email

Is there a present survey on the property? *
YesNo
*If yes, please provide us a copy as soon as possible.

Is there a termite bond on the property? *
YesNo

List vendors who provide the property’s utilities for water, sewer and power

Will you being using the proceeds to buy another property the same day? *
YesNo

Did you purchase the home within the last 3 years? *
YesNo
***IF YES, SEND US YOUR Owner’s Title Insurance Policy, it may SAVE MONEY***

6. Release, Acknowledgement and Financial Responsibility (wet signature may be required for payoff authorization).

(i) I/we, the undersigned, authorize BLLT / Network Transaction Solutions 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.

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Signature *

Signature (if additional seller)