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Seller Agent Form

Dear Valued Agent,

Our title company is handling an upcoming settlement for you.  We would greatly appreciate your taking a few moments to complete this form to make sure we have accurate closing information for our file.  If you have any questions about this form, or believe you have received this form in error, please contact my title processor, Kim Minter, at 410-719-0200 and let her know.

Thank you for your help and, as always, we greatly value your business.

Jeffrey P. Shiller, Esq.

* Required fields
Name *
E-mail Address *
Name of Seller's Broker *
Agent's Phone Number *
Agent's Fax Number
Listing Agent Commission (% or $) *
Buyer's Deposit Amount *
Deposit Held By *
Is There A Seller's Admin Fee? * Yes
No
If Admin Fee, How Much?
Any Seller Contribution to Buyer's Costs? * Yes
No
If There Is Seller Contribution, How Much?
Seller #1 Name and Address *
Seller #1 Phone Number
Seller #1 Address After Settlement
Seller #2 Name & Address
Selelr #2 Phone Number
Seller #2 Address After Settlement
Payoff Lender #1 (if none, write "none") *
Payoff #1 Mortgage Acct Number
Payoff Lender #1 Phone Number
Payoff Lender #2 Name
Payoff #2 Mortgage Acct Number
Payoff Lender #2 Phone Number
Is The Sale Part of a Short Sale Transaction? * Yes
No
Not Sure
Are Any Record Title Holders Deceased? * Yes
No
Not Sure
Are There Any Open Lawsuits Against Sellers? * Yes
No
Not Sure
Are There Any Open Liens or Judgments Against Sellers? * Yes
No
Not Sure
Are Sellers Currently In Bankruptcy? * Yes
No
Not Sure
Will ALL Sellers Be Attending Closing? * Yes
No (If No, Please Provide POA)
Not Sure
Will There Be Any Seller Financing? Yes
No
Not Sure
Name of HOA/Condo Association (if none, write "none")
HOA/Condo Management Company
HOA/Condo Management Phone #
HOA/Condo Fees Paid
Amount of HOA/Condo Fees
Is Property Subject To Ground Rent? * Yes
No
Not Sure
If Ground Rent, Name/Address/Phone # of GR Holder
Is Seller Paying For a Home Warranty? Yes
No
If Yes, Name of Home Warranty Co.
How Much Will Warranty Cost?
Is There Any Separate Front Foot Charge? Yes
No
Not Sure
If Yes, Name/Phone # of Front Foot Owner
Are There Any Local Special Assessments? Yes
No
Not Sure
If Yes, Name/Phone # To Get Information
Please Add Any Specific Questions/Instructions Here

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Please Do Not Forget To Fax Any Invoices or Bills To Be Placed On The HUD-1 To:

443-957-4517

Or Email Them To:

jeff@viprealestatelaw.com

 

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 Jeffrey P. Shiller, P.A. One Sanford Avenue Baltimore, Maryland 21228
Office 443.463.5909 | Fax 866.859.6019 | jeff@viprealestatelaw.com