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***

1. SELLER'S NAME:

GENDER: MALEFEMALE
MARITAL STATUS: MARRIEDSINGLEWIDOW
SOCIAL SECURITY NUMBER:
PHONE:
CELL:
EMAIL:
POST CLOSING ADDRESS:



2.SELLER'S NAME:

GENDER: MALEFEMALE
MARITAL STATUS: MARRIEDSINGLEWIDOW
SOCIAL SECURITY NUMBER:
PHONE:
CELL:
EMAIL:
POST CLOSSING ADDRESS (IF DIFFERENT) :



** IF THE PROPERTY IS IN A TRUST NAME PLEASE SEND US A COPY OF THE TRUST**



3. WILL YOU BE PRESENT FOR CLOSING? YESNO

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

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

6. WILL YOU BE USING A POWER OF ATTORNEY FOR CLOSING? YESNO
** If yes, please send us the ORIGINAL Power of Attorney as soon as possible **

7. IS THIS PROPERTY YOUR HOMESTEAD? YESNO

If no, where is your primary residence


8. CURRENTLY OR RECENTLY GONE THROUGH A DIVORCE? YESNO

If yes, what is the status?


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

If yes, please list them


10. ARE THERE MORTGAGES ON THE PROPERTY? YesNo

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 **

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

12. DO YOU PAY DUES TO A HOMEOWNERS/CONDOMINIUM ASSOCIATION? YESNO

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


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


14. IS THIS A SHORT SALE? YESNO

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

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

16. DO YOU HAVE A SURVEY? YESNO
Who prepared it?

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

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

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



19. HOW DO YOU WANT TO RECEIVE YOUR PROCEEDS FROM THE SALE?
-CHECK (It will be mailed to the post-closing address above. It may take up to 7-10 days to clear your account)
-WIRE (please fill complete the information below)

Bank Name:
Account Name:
Address:
Account Number:
Bank Routing Number:



20. 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 above named borrower(s) authorize the above named Mortgage Holder to discuss specific account information regarding the above referenced loan with Sam J. Saad III, David T. Lupo, Kristine Kokinda, Amy Saad, Jason Sizemore or Amy Willis of Paradise Coast Title & Escrow, LLC, until revoked.

In giving my/our authorization, I also release Paradise Coast Title & Escrow, LLC, its officers, agents and employees of any liability arising as a result of this authorization

Borrower’s Signature:
Co-Borrower’s Signature