Property Address:__________________________
City:_________Zip Code:__________
1: Last:_______________ First:____________Initial:____
SS#____________________
2: Last:_______________ First:____________Initial:____
SS#____________________
Marital Status:SingleMarriedDivorcedWidowedSeparated

Seller #1

Present Address:_______________________________________

                               Street        City      State  Zip

Home Phone:________Bus. Phone:___________Fax:____________

Seller #2

Present Address:_______________________________________
                               Street        City      State  Zip

Home Phone:________Bus. Phone:___________Fax:____________

MORTGAGE INFORMATION:

1st Mortgage Company_____________________________________

Account #___________________

Address:________________________________________________

                               Street        City      State  Zip

FHA Mortgage: YESNO Account #____________

2nd Mortgage Company_____________________________________

Account #___________________

Address:________________________________________________

                               Street        City      State  Zip

Home Equity Loan: Yes No

Name of Bank/Branch:_______________Account#______________

Any Line Of Credit/Security agreement/Other Mortgages/Other liens against the property?
__________________________________________________________________________________________________________________

Bank or Lien Holder:_______________Account#______________

Address:________________________________________________

                               Street        City      State  Zip

HOME OWNERS ASSOCIATION OR CONDOMINIUM INFORMATION:

Association Name:__________________________Assoc. Fee:_____

Current Contact Person:____________________Phone:________

Address:________________________________________________

                               Street        City      State  Zip

Attorney, Only if involved with closing:

Name:______________________________Firm:_________________

Address:________________________________________________

                               Street        City      State  Zip

Phone:__________________________Fax:_____________________

Estate Information: (if applicable)

Fed ID#______________ Personal Representative:___________

Phone:_______________ Fax:____________________

Address:________________________________________________

                               Street        City      State  Zip

Premises Occupied by:Owners Tenants Vacant

Tenant Information:
Name:__________________Unit #___________Phone:___________

Lease:__________Exp Date:_________Date Due:______________

Rent$______________Sec. Deposit:__________Misc:__________

Needed From Seller To Complete Closing: