Seller Information Form

Thank you for allowing Paradise Coast Title to help you with the sale of your property.  We are asking you for this information so that we can close your transaction quickly and efficiently. Per Florida state law, all of the information will be kept strictly confidential.

Please complete the answers and fill in all of the blanks below to the best of your ability and click SUBMIT at the bottom of this page.  Or if you prefer, you can download a PDF copy of the form by clicking DOWNLOADABLE SELLER INFORMATION FORM below and return via fax to (239) 791-1208 or via email to Info@ParadiseCoastTitle.com.

Should you have any questions about the form, do not hesitate to contact a Paradise Coast Title & Escrow team member at (239) 963-1635 or Info@ParadiseCoastTitle.com.  We look forward to working with you.

Property Address:
***Please send a clear copy of your driver’s license or passport***

Upload ID:

SELLER #1 NAME:

GENDER: MALEFEMALE
MARITAL STATUS: MARRIEDSINGLEWIDOW
ARE YOU A U.S. CITIZEN OR GREENCARD HOLDER? YesNo
SOCIAL SECURITY NUMBER:
PHONE:
CELL:
EMAIL:
POST CLOSING ADDRESS:



Please complete #2 ONLY if you have a co-seller
SELLER #2 NAME:

GENDER: MALEFEMALE
MARITAL STATUS: MARRIEDSINGLEWIDOW
ARE YOU A U.S. CITIZEN OR GREENCARD HOLDER? YesNo
SOCIAL SECURITY NUMBER:
PHONE:
CELL:
EMAIL:
POST CLOSSING ADDRESS (IF DIFFERENT THAN ABOVE):




1. WILL YOU BE PRESENT TO SIGN YOUR CLOSING DOCUMENTS AT OUR OFFICE IN NAPLES, FLORIDA AT THE TIME OF CLOSING? YESNO

2. IS THE PROPERTY THAT YOU AR SELLING HELD IN A TRUST? YesNo
** If yes, please provide a copy of the ENTIRE trust **

3. ARE ANY OF THE PEOPLE ON THE DEED DECEASED? YESNO
** If yes, please provide us with the ORIGINAL death certificate **

4. IS THIS PROPERTY YOUR HOMESTEAD? YESNO
** If no, please list your primary residence below **


5. CURRENTLY OR RECENTLY GONE THROUGH A DIVORCE? YESNO
** If yes, what is the status? **


6. ARE YOU AWARE OF ANY LIENS OR JUDGEMENTS AGAINST YOU? YESNO

If yes, please list them


7. ARE THERE MORTGAGES ON THE PROPERTY? YesNo
**If yes, please complete mortgage holder information below. Please also complete and return the Third Party Authorization form at the end of this form**

FIRST MORTGAGE HOLDER:
BANK NAME:
LOAN NUMBER:
CUSTOMER SERVICE PHONE NUMBER:
**Please include a copy of your last mortgage statement with this form **
SECOND MORTGAGE HOLDER:
BANK NAME:
LOAN NUMBER:
CUSTOMER SERVICE PHONE NUMBER:
**Please include a copy of your last mortgage statement with this form **

8. HOW OFTEN DO YOU PAY YOUR PROPERTY TAXES?
ANNUALLYQUARTERLYMORTGAGE COMPANY PAYS

9. DO YOU PAY DUES TO A HOA/CONDO ASSOCIATION? YESNO

MASTER/CONDO ASSOCIATION NAME:
PHONE NUMBER:
FAX:
HOW MUCH DO YOU PAY: $
HOW OFTEN: MonthlyQuarterlyAnnually
NEIGHBORHOOD ASSOCIATION NAME:
PHONE NUMBER:
FAX:
HOW MUCH DO YOU PAY: $
HOW OFTEN: MonthlyQuarterlyAnnually
COUNTRY CLUB/OTHER ASSOCIATION:
PHONE NUMBER:
FAX:
HOW MUCH DO YOU PAY: $
HOW OFTEN: MonthlyQuarterlyAnnually


10. HAVE YOU MADE ANY MAJOR IMPROVEMENTS TO THE PROPERTY YESNO
If yes, please list them:


11. IS THIS A SHORT SALE? (You owe more than you are getting.) YESNO

12. DO YOU HAVE A TITLE INSURANCE POLICY YESNO
Issuing Company Name:

***Please fax or email a copy of the policy IMMEDIATELY. If your contract is a NABOR contract, you have 10 days to provide this policy***

13. DO YOU HAVE A SURVEY? YESNO
What is the name of the company that prepared the survey?

Upload File:


14. DO YOU HAVE TENANTS THAT LEASE THE PROPERTY? YESNO
If yes, please forward a copy of the lease agreement as soon as possible

15. TO WHOM DO YOU MAKE YOUR WATER/SEWER BILL PAYMENT TO?

Company Name:
Phone No.:
Average Amount Due: $
How Often:


HOW DO YOU WANT TO RECEIVE YOUR PROCEEDS FROM THE SALE?
- CHECK - It will be mailed to the post-closing address above and it may take up to 7-10 days to clear your account.
- WIRE - If closing occurs after 4:00 p.m.,and you have chosen to receive your proceeds via wire transfer, we will send your wire the following business day OR you may opt for a check.We do not charge to send a wire but your bank may charge to receive a wire.


ADDITIONAL INFORMATION:



Thank you for your prompt response. We appreciate your business and look forward to serving you.

I /we, the undersigned, hereby certify that all of the information provided on this Closing Information Form is true, correct and accurate to the best of our knowledge. I/we also acknowledge that providing false information in an attempt to commit fraud could subject us to state and federal criminal and civil penalties.

Pursuant to Florida Statute 626.954, I/we agree to reimburse Paradise Coast Title & Escrow for any advances made on my/our behalf.



Seller: Date:
Seller: Date:

THIRD PARTY AUTHORIZATION

Borrower Name(s):
Property Address:
Mortgage Holder:
Loan Number:

I /we, the undersigned, hereby certify that all of the information provided on this Seller Information Form is true, correct and accurate to the best of our knowledge. I/we also acknowledge that providing false information in an attempt to commit fraud could subject us to state and federal criminal and civil penalties. In addition, I/we agree to pay Paradise Coast Title & Escrow LLC’s closing fee.

Pursuant to Florida Statute 626.954, I/we agree to reimburse Paradise Coast Title & Escrow for any monetary advances made on my/our behalf for items, including but not limited to, estoppels, lien searches, application fees, etc.

PLEASE BE ADVISED: Paradise Coast Title & Escrow, LLC does not provide legal advice. Unless otherwise expressly stated in writing, Sam J. Saad III does not represent the buyer or seller in your transaction.

Due an increase in internet and email hacking and fraud, and for your protection, Paradise Coast Title & Escrow will call and verbally verify all wire transfer amounts and instructions received BEFORE a wire is initiated. DO NOT SEND A WIRE UNLESS YOU HAVE CONFIRMED OUR WIRE INSTRUCTIONS VERBALLY. Paradise Coast Title & Escrow, its affiliates and underwriters will not be held liable if you become a victim of fraud. WIRE CUTOFF is 4:00 p.m.

Borrower’s Signature:
Co-Borrower’s Signature

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