Seller Questionnaire 1Seller Info2Property Info3Deed Preparation4Condominium / Homeowner's Association5Water & Sewer6Records Number of Sellers*Please contact us if there are 3+ sellers One Two Seller #1 InformationFull Name*First, Middle, Last Cell Phone NumberHome Phone NumberAddress of Property Being Sold Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Mailing AddressIf different than the address of the property being sold. Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Marital Status*SingleMarriedCivil UnionSpouse's Name Mailing Address AFTER Closing Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code In the event we need to email you non-public private information, we will transmit through a secure portal. SECURE SECURE EMAIL NOTIFICATION Delivery to buyer(s)/borrower(s) and seller(s) as used in this transaction, unless otherwise stated herein, is to be by hand in person to the principal, regular mail, email or fax to any of the contact information provided in these instructions. If delivered by regular mail receipt is determined to be seventy-two (72) hours after such mailing. All documents, balances and statements due to the undersigned may be delivered to the contact information shown herein. All notices, change of instructions, communications and documents are to be delivered in writing to the office of Signature Escrow & Title as set forth herein. By clicking 'Next', and giving of your email address, you are authorizing Signature Escrow & Title to email you your escrow related documents. By clicking 'Next', the above has executed this document on this date. Fidelity National Financial Privacy Notice.pdf Seller 1 Consent* Please read and acknowledge the attached privacy notice.Seller #2 InformationFull Name*First, Middle, Last Phone NumberAlternate Phone NumberMailing AddressIf different than the address of the property being sold. Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Marital Status*SingleMarriedCivil UnionSpouse's Name Mailing Address AFTER Closing Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code In the event we need to email you non-public private information, we will transmit through a secure portal. SECURE SECURE EMAIL NOTIFICATION Delivery to buyer(s)/borrower(s) and seller(s) as used in this transaction, unless otherwise stated herein, is to be by hand in person to the principal, regular mail, email or fax to any of the contact information provided in these instructions. If delivered by regular mail receipt is determined to be seventy-two (72) hours after such mailing. All documents, balances and statements due to the undersigned may be delivered to the contact information shown herein. All notices, change of instructions, communications and documents are to be delivered in writing to the office of Signature Escrow & Title as set forth herein. By clicking 'Next', and giving of your email address, you are authorizing Signature Escrow & Title to email you your escrow related documents. By clicking 'Next', the above has executed this document on this date. Fidelity National Financial Privacy Notice.pdf Seller 2 Consent* Please read and acknowledge the attached privacy notice. Property InformationWill you be attending the closing?* Yes No Closings by mail can be arranged. If you plan to use an existing and current Power of Attorney, it must be reviewed by our Attorney for validity for this transaction. Signature can also prepare one for you at an additional cost of $100.00. Is the property being sold your primary residence?* Yes No Do tenants occupy any portion of this property?* Yes No Is anyone on title currently incapacitated (dementia, Alzheimer’s, mentally disabled)?* Yes No Will a Power of Attorney be used or needed?* Yes No Does each seller have a government-issued, unexpired photo ID to present at closing?* Yes No Is the property a mobile home/manufactured housing?* Yes No Does this property belong to a Condominium or Homeowner’s Association?* Yes No Is the property held in a Trust?* Yes No Do you have a bank account in the name of the Trust?* Yes No *Please note proceeds are issued in the name of the property owner of record. If the property is held in Trust, please send either a current Trustee Certificate or the first three pages and the signature pages of your Trust to: Email: closings@signaturetitle.com Fax: (603) 431-1879 Deed PreparationSignature would be pleased to prepare your deed if there are no changes to the current legal description.Would you like us to prepare the deed?*Please see fee schedule Yes ($185) No Deed InformationHas there been a change in marital status or name change since purchasing the property? * Yes No Is anyone named in the current deed deceased?* Yes No Name of Deceased Attorney InformationAttorney Name* PhoneEmail In certain situations, it may be necessary for your attorney to prepare the deed, such as when the property is being transferred via an estate sale. If the property is being sold by the estate of a deceased individual, please note that it may be necessary to obtain the consent and signatures of all heirs. The estate’s attorney should be contacted immediately to determine the identity of all necessary parties well in advance of closing.Outstanding Mortgage/Home Equity Credit LinesDo you have an outstanding mortgage and/or home equity credit line?* Yes No If applicable, please complete the Payoff Authorization Request Form. NOTE: For Home Equity Lines of Credit, it is required that all unused checks and credit cards associated with your equity credit line be brought to closing. Cease using your Home Equity Line of Credit immediately, if applicable. Condominium / Homeowner's AssociationName of Condominium Association Contact Person Payment Mailing Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Daytime PhoneEmail Local Master Insurance Policy Agent NOTE: Any fees charged by the Association to obtain information necessary to transfer your property are solely the responsibility of the Seller and will be deducted from your proceeds. Water & SewerIs the property serviced by public Water?* Yes No Is the property serviced by public Sewer?* Yes No ProceedsProceeds*Please note, unless we receive a request stating you would prefer a check at closing, we send all proceeds by wire transfer. There is a $50.00 charge for wires. High value checks generally take several days to clear most banks. Therefore, check requests must be received by email, sent to your Signature Escrow & Title processor, no less than seven days prior to your closing. I understand NOTE: If this is Maine property, and if you or any of the current owners are not Maine residents, the 2.5% withholding tax will be deducted from the sale’s proceeds.Are all sellers currently Maine residents?* Yes No Please include any additional comments herePlease feel free to contact us with questions at (603) 431-8100.NameThis field is for validation purposes and should be left unchanged.
