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

Buyer 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

Buyer 2 Martial Status

Married

Single

How would you prefer to hold title to the property? *

Individual: Only one person listed on the deed

Tenants by Entirety: Must be married to take title this way

Joint Tenants: Joint owners with the right of survivorship

Tenants in Common: Joint owners with no survivorship. Ownership rights pass to estate, not to co-owner

Trust/ Partnership/ LLC/ Etc.: Living trust or business name (Documentation required)

I am unsure and would like to talk to someone before selecting

Contact Person / Loan Processor

First Name

Last Name

Phone

Country

(###)

###

####

Fax

Country

(###)

###

####

Is there need for a Power of Attorney? *

A power of attorney is a legal document that authorizes an individual (the "agent" or "attorney-in-fact") to act on behalf of another person (the "principal") in financial, legal, or personal matters. The scope of authority granted can be broad or limited, depending on the terms outlined in the document.

Yes

No

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