Seller Questionnaire

Seller Information

Seller 1 Full Name

Seller 2 Full Name

Email Address

Spouse's Email Address

Mailing Address

Physical Address

Mortgage Information

First Mortgage Loan Servicer (Name of Company)

Mortgage Company Contact Number

Loan Number

Mortgage Address

Second Mortgage Loan Servicer (Name of Company)

Loan Number

Mortgage Address

Your SSN

Spouse SSN

Title Information

Is anyone listed on the property deceased?
YesNo

If so, who?

Has a probate been completed?
YesNo

Is title held in a Corporation, LLC, Partnership, Trust or Estate?
YesNo

Name of Entity

Address of Entity

Is the Corp., LLC, Partnership, Trust, or Estate registered with the GA Secretary of State?
YesNo

Is it in good standing with the GA Secretary of State?
YesNo

Who will sign closing documents for the entity?

Your Banking Information

If you would like funds wired, please provide wiring instructions:

Name of Banking Institution

Address of Bank

ABA Number

Account Name

Account Number

Closing Information

Will you be attending the closing in person?
YesNo

Do you or your spouse need a power of attorney?
YesNo

If so, what is the name of the person you are designating as Power of Attorney?

What is the Power of Attorney’s contact information:

• Name

• Email Address

• Phone Number

Do you need the documents sent directly to you for signature?
YesNo

If so, please provide the physical address to send documentation

By checking this box, I confirm that the above information is correct.
Agree