Buyer Information Form - Paradise Coast Title

WELCOME

Thank you for the opportunity to assist you with the purchase of your property. In order for us to close your transaction quickly and efficiently, please complete all applicable blanks and checkboxes in the form below. Per Florida state law, all of the information provided will be kept strictly confidential.

Should you have any questions or need assistance completing this form, please contact the processor on your file.

Please also send a clear copy of your driver license or passport along with your completed form.

The Property

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Buyer #1

Prefix

First Name

Middle Name

Last Name

Social Security Number

Phone

Cell Phone

Email Address

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Will Buyer #1 be present to sign your closing documents at our office at the time of closing?YesNo

Where will Buyer #1 be for closing?

Buyer #2

Prefix

First Name

Middle Name

Last Name

Social Security Number

Phone

Cell Phone

Email Address

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Will Buyer #2 be present to sign your closing documents at our office at the time of closing?YesNo

Where will Buyer #2 be for closing?

Additional Information

Do you want a survey of your property?YesNoIf you are purchasing a condominium, you do not need a survey. If you are buying a singlefamily home, we HIGHLY recommend a survey as it is the only document that actually tells you what you are buying.

Will this property be your homestead?YesNoWhether or not you choose to homestead your Florida property can have important legal consequences. Please call to discuss the implications of homesteading on your property taxes, asset protection and estate planning

Have you currently gone through a divorce?YesNo

Please include the status of your divorce below.

Will you be obtaining a mortgage?YesNo

Name of Lender

Name of Contact

Email Address

Phone

Fax

Forms of Tenancy

I/We hereby direct Paradise Coast Title & Escrow, LLC to vest title in my/our name(s) using the following description:HUSBAND AND WIFE – Creates an estate by the entireties wherein the title to the property reverts to the survivor in the event of death upon recordation of certain documents (Both parties must me a part of the contract and must be legally married.)JOINT TENANTS WITH FULL RIGHTS OF SURVIVORSHIP – Creates an estate wherein the title to the property reverts to the survivor(s) who hold title in the event of death of one owner, upon recordation of certain documents.TENANTS IN COMMON – Creates and estate wherein each person who holds title has an individual interest (i.e.: two people hold title, each holds and undivided on-half interest).AS TRUSTEE – Please provide a complete copy of the trust agreement so we can verify that your trustee is able to hold title to real property. Also, please note that in Florida, trustee’s hold title to property not trusts.A SINGLE PERSON (unmarried)A MARRIED PERSON (married but purchasing as sole and separate property). If you are getting a mortgage, your spouse’s information is required as they will have to sign the mortgage.A LIMITED LIABILITY COMPANY – title will be held in your LLC pursuant to your LLC operating agreement. Contact Sam Saad for more details at (239) 963-1635.OtherYou may only select one.

We request, as the purchasers, that the title be placed in our names in the following manner:

IMPORTANT

The above are common options and are provided only as a convenience to our customers and is not to be considered legal advice. You may wish to seek legal counsel if you are in doubt.

Please state how you would like your names to appear on your deed. If you are getting a loan, your names need to match your loan application:

Additional Information

PLEASE NOTE

"We didn't have the money to hire an entire IT security department. With the I /we, the undersigned, hereby certify that all of the information provided on this Buyer 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 law, I/we agree to pay Paradise Coast Title’s standard fees and 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. As settlement agent, our duties are to: (i) prepare the necessary legal documents that will consummate the transaction contemplated by the Purchase Agreement (the “Contract”); (ii) ensure that applicable settlement documents are properly executed; (iii) ensure that costs and expenses are allocated between the parties pursuant to the terms of the Contract; (iv) arrange for the payment and disbursement of closing proceeds and costs; (v) arrange for the recording of appropriate documents in the public records; and (vi) arrange for the issuance of the title insurance commitment and policy(ies).

Buyer #1 Signature

Date

Buyer #2 Signature

Date

NOTICE

*By typing your name above you agree to the following: By typing in your legal name, you are signing this form electronically. You agree your electronic signature is the legal equivalent of your manual signature on this form. By typing in your name you consent to be legally bound by this form's terms and conditions.