Seller Information Form

Name

Email Address

Date

Expected Closing Date

Borrowers

Sellers

Property Address

Are Any Owners / Sellers Deceased Are Any Owners / Sellers Deceased Yes No

Are the Sellers Residents of Georgia? Are the Sellers Residents of Georgia? Yes No

Is the Property being sold the Sellers Primary Residence? Is the Property being sold the Sellers Primary Residence? Yes No

Forwarding Address for the Sellers

Email Address for the Sellers

Sellers Home Phone

Sellers Work Phone

Sellers Wireless Number

Sellers Social Security Numbers

Is the Property subject to Homeowners Association Fees? Is the Property subject to Homeowners Association Fees? Yes No

Homeowners Association Info (Name, Email, Phone #, Dues Amount)

Who do you make monthly payments to?

Name on Account

Loan / Account #

Customer Service / Payoff Request Phone #

Approximate Balance