You can now type your information directly into our form. No need to print! Pete Shedor, Member Tia Phillips. Associate Attorney Jim Duley, Office Manager docs@shedorlawfirm.com SELLER INFORMATION SHEET Buyer Name (our file name): Listing Agent: Property: Seller Name: Closing Date/Time: SELLER NAME(S): _________________________________________ ___________________________________________ (Provide name of spouse if individual seller is married; spouse must sign deed; call if you have questions about this) _______________________________________________________ SELLER’S POSTCLOSING ADDRESS: (Forwarding Address; cannot be the property being sold) _______________________________________________________ Telephone: (H): __________________________ (C): __________________________ Email: Was property being sold the seller’s primary residence? Yes No (W): __________________________ Marital Status: Married Divorced Separated Single Widowed If separated, has there been a Separation Agreement or Free Trader Agreement prepared & recorded?: Social Security Numbers: Seller1: ___________________ Seller2: __________________ (Required for IRS reporting & payoffs) First Mortgage Lender: __________________________________________ Loan No.: ____________________________________ Phone: _______________________________________ Approximate Balance: _________________________________________ (Please report even if equity line with no balance) Second Mortgage/Equity Line: _________________________________________ Loan No.: _______________________________ Phone: _______________________________________ Approximate Balance: _________________________________________ Seller's Prior Title Insurance Company (from purchase or loan): _______________________ ***MUST HAVE*** HOMEOWNERS ASSOCIATION (PROVIDE MANAGEMENT COMPANY INFO): _______________________________________________________________Telephone: ______________________________________________ If association is self-managed, provide name/telephone/email of President or Treasurer *** IF NO, PLEASE CALL ASAP TO DISCUSS ARRANGEMENTS *** WILL SELLER(S) ATTEND CLOSING: YES NO SHOULD SHEDOR LAW FIRM PREPARE THE SELLER’S DEED? YES NO ($100 charge to seller on HUD1) If no, who will prepare? _________________________________ Amount to be collected on HUD1 for outside atty: $_____________________ Check/USMail Wire ($20) HOW DOES SELLER WANT PROCEEDS? Check/Pickup Check/UPS ($25) Is there an existing survey of the property YES NO If yes, please fax copy Home Warranty: __________________________________________ Pay at Closing: $______________ Ordered by: Listing Agent: __________ Selling Agent: __________ Are there any other seller expenses to be paid at closing? (ie, buyer’s closing costs, repairs, marketing fees, etc) ________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________ REALTOR INFO: TOTAL COMMISSION: ______ % SPLIT: LA _________ SA _________ Realtor Transaction Fee: _________ Best Telephone Number to Reach Realtor: __________________________ Realtor Email: _____________________________________________ NOTE: FUNDS COMING TO CLOSING MUST BE IN THE FORM OF A CERTIFIED/OFFICIALCHECK OR WIRE Please visit www.shedorlawfirm.com (see “Info for Sellers”) for a description of our policies, services offered and fees RETURN TO: docs@shedorlawfirm.com (Use this address for all invoices, contracts, etc.) FAX 919.461.7018 Closing Team: Jim Duley, Cosmo Zinkow, Jonathan McDonald, Pete Shedor / Title Team: Arlo Zinkow, Tia Phillips 401 High House Road, Suite 140 / Cary, North Carolina 27513 / 919.461.7017 / fax 919.461.7018 Unfortunately, lenders will not accept digital signatures on this form. Pete Shedor, Member Tia Phillips. Associate Attorney Jim Duley, Office Manager docs@shedorlawfirm.com 401 High House Rd. #140 / Cary, NC 27513 919.461.7017 / fax 919.461.7018 AUTHORIZATION TO RELEASE INFORMATION BECAUSE OF PRIVACY REGULATIONS, LENDER MAY REQUIRE SIGNED AUTHORIZATION TO RELEASE PAYOFF INFORMATION Lender1: Acct1: Lender 2: Acct2: I/we authorize individuals and institutions named above to provide SHEDOR LAW FIRM, PLLC and its employees, any and all information and documentation requested in order to assist SHEDOR LAW FIRM, PLLC in obtaining loan and payoff information for loans I owe to said lender(s). Such information shall include, but is not limited to: account balance, payment information and verbal and written payoff information. I understand that the lender may charge a fee to my account for a faxed written payoff statement. Lender is asked to forward any requested information in a prompt manner. Thank you for your cooperation in this matter. EQUITY LINES/OPEN ENDED ACCOUNTS: If account is an equity line of credit, we hereby request that the account be immediately blocked to further advances and closed and satisfied if the account has a zero balance. Upon receipt of a future payment from me or Shedor Law Firm, PLLC reducing the account to zero, please close the account and satisfy any deed of trust recorded to secure the account. Please note: A copy of this authorization may be accepted as an original. This authorization shall expire in 60 days from the date signed Dated: _____________________ _________________________________ Borrower _________________________________ Borrower 401 High House Road, Suite 140 / Cary, North Carolina 27513 / 919.461.7017 / fax 919.461.7018