Sellers Statement

Seller's Statement...

NOTE: PLEASE TAB THROUGH FIELDS, ENTER WILL SUBMIT FORM.

PLEASE FORWARD A FULL COPY OF THE OFFER TO PURCHASE AND COMPLETE THE FOLLOWING.

Send Seller's Statement to office in		Addition/Change
Property Information
Address City		State Zip
Buyer's Mortgage Company		Loan Amount
Seller's Mortgage Information
Company Name Address FHA: Yes No		Phone Number Loan Number
Second Mortgage Information
Company Name Address		Phone Number Loan Number
If there are any additional payoffs please give that information in the Special Instructions section
Seller's Attorney to Prepared Deed		Seller's Marital Status Married Single
Revenue Stamps - Amount of Personal Property Value		Realtor Commission %
RTC to Issue Cooperating Office Check? Yes No Amount Deduct Earnest Money From Commission? Yes No		Amount of Earnest Money Check Note Amount
Home Warranty Premium		Home Warranty Company
Inspection Bill Amounts and Payees
Well Termite		Septic Other
Seller Paid Closing Costs?
Ordered by Information Name Address Phone Number		City State Zip Email address
Special instructions (rent adjustments, security deposits, lease back, condo fees, etc.)