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Seller Information Form

Seller Information Form

By providing my phone number to Service Title Company, I agree and acknowledge that Service Title Company may send text messages to my wireless phone number for any purpose. Message and data rates may apply. Message frequency will vary, and you will be able to Opt-out by replying “STOP”. “, assistance can be found by texting “HELP”. For more information on how your data will be handled please visit PRIVACY POLICY.

Seller Information:

Team*

First Name*

Last Name*

Phone*

Email*

Address of property to be sold*

Marital Status*
MarriedSingleDivorcedWidow(er)

Will this closing being performed as a mailout*
YesNo

If yes, please provide email address/ mailing address to send closing docs:

Loan Payoff Information: (if applicable)

Loan Company Name*

Loan Number*

Phone*

Last 6 digits of SSN*

Are there any payoffs that you are aware of that are needed on the property?*
YesNo

If so, please explain*

Survey Information

Is there an existing survey of the property*
YesNo

If yes, have any structural changes been made to the exterior of the property since the
survey was done?
YesNo

If yes, please explain the changes*

*Please provide a copy of the survey to us as soon as possible.

If you are the real-estate agent for this transaction, please complete the following question.

Commission:

Split

Transaction fee (if applicable)

I authorize Service Title Company to obtain payoff information from my lender.

Signature*

Date*

For security purposes, please answer this question:

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Service Title: SMS Policy

"No mobile information will be shared with third parties/affiliates for marketing/promotional purposes. All the above categories exclude text messaging originator opt-in data and consent; this information will not be shared with any third parties."