Seller Closing Information

Property Address:*

Street Address Address Line 2 City State ZIP Code

Your Forwarding Address

Street Address Address Line 2 City State ZIP Code

Seller 1 Information

Name

First Last

Social Security

Mobile

Work

Email

Seller 2 Information

Name

First Last

Social Security #

Mobile

Work

Email

Realtor Information

Listing Agent Name

First Last

Listing Agent Phone

Listing Agent Email

Buyer Agent Name

First Last

Buyer Agent Phone

Buyer Agent Email

Homestead Information

Marital Status

Married
Unmarried

Name of Spouse

First Last

Attorney Information

If you are represented by an attorney other than an attorney from our firm, please complete the information below.

Name

First Last

Phone

Fax

Email

Current Mortgage Information

1st Mortgage Company

1st Mortgage Phone

1st Mortgage Account#

2nd Mortgage

2nd Mortgage Phone

2nd Mortgage Account#

Equity Lines or Other Mortgages/Liens

Recent Mortgage Statements

Drop files here or

Max. file size: 50 MB.

Condo Information (If Applicable)

Name of Condo Association

Management Company

Phone

Fax

Email

Additional Information

Authorization

By checking this box I authorize the Law Offices of Peter. T. DaMore, Jr. to request payoff figures and insurance binders relative to this transaction. I specifically authorize the Law Offices of Peter T. DaMore, Jr. to sign my name to payoff and binder requests, if necessary.

Payoff & Other Paperwork

Please upload payoff statements, payoff authorizations and/or any other information that you may have.

Drop files here or

Max. file size: 50 MB.

Additional Info./Comments

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Name

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Seller 1 Information

Seller 2 Information

Realtor Information

Homestead Information

Attorney Information

Current Mortgage Information

Condo Information (If Applicable)

Additional Information

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