Property Address *

address of property to you are purchasing

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Legal Name Verification *

If the name on your deed, contract, or other documents differs from the name on your ID, it will cause issues during the closing process.

By checking this box I am verifying that my name appears on my driver's license, passport, etc. as it appears above

Phone *

Country

(###)

###

####

Forwarding Address *

where we can send mail after the closing

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Seller 1 Martial Status *

Married

Single

Legal Name Verification

If the name on your deed, contract, or other documents differs from the name on your ID, it will cause issues during the closing process.

By checking this box I am verifying that my name appears on my driver's license, passport, etc. as it appears above

Phone

Country

(###)

###

####

Forwarding Address

where we can send mail after the closing

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Seller 2 Martial Status

Married

Single

Will there be a Power of Attorney? *

If yes, Absolute Title must have a copy of the POA in advance of settlement. The original will need to be provided prior to closing for recordation in court if exercising the use of a POA.

Yes

No

Is this property in an estate name or part of an inheritance in a Will? *

If yes, please know that we will need a copy of any and all death certificates and any recorded estate documents, such as a list of heirs or recorded Last Will and Testament.

Yes

No

Deed Preparation *

Will you need us to order the deed to convey this property?

Yes

No - please provide the name of the Attorney preparing the deed below

Contact Person / Loan Processor

First Name

Last Name

Phone

Country

(###)

###

####

Fax

Country

(###)

###

####

Authorization and Verification Statement By checking the box below, typing their full name, and dating this document, Buyer 1 and Buyer 2 hereby affirm and certify that the information provided is accurate, complete, and up to date to the best of their knowledge. *

by checking this box ALL buyers are attesting to the above statement

Date *

MM

DD

YYYY

Date

MM

DD

YYYY