Thank you for allowing NASSEH SIROUNIS LAW, P.A. to help you selling your property. We are asking you for this information so that we can close your transaction quickly and efficiently. Per Florida state law, all of the information will be kept strictly confidential.
Please circle the appropriate answers and fill in all of the blanks to the best of your ability. Upon completion, please click
“Submit” button at bottom of page.
Should you have any questions or need assistance completing this form, please contact a Title team member at (407) 776-8600.
We look forward to working with you, and thank you for the opportunity to be of service.
FIRST MORTGAGE HOLDER:
SECOND MORTGAGE HOLDER:
COUNTRY CLUB/OTHER ASSOCIATION:
12. TO WHOM DO YOU MAKE YOUR WATER/SEWER BILL PAYMENT?
I /we, the undersigned, hereby certify that all of the information provided on this Seller Information Form is true, correct and accurate to the best of our knowledge. I/we also acknowledge that providing false information in an attempt to commit fraud could subject us to state and federal criminal and civil penalties. In addition, I/we agree to pay Nasseh Sirounis Law, P.A.’s closing fee.
Pursuant to Florida Statute 626.954, I/we agree to reimburse Nasseh Sirounis Law, P.A. for any monetary advances made on my/our behalf for items, including but not limited to, estoppels, lien searches, application fees, etc.
PLEASE BE ADVISED: Nasseh Sirounis Law, P.A. does not provide legal advice and does not represent the buyer or seller in your transaction.
Due an increase in internet and email hacking and fraud, and for your protection, Nasseh Sirounis Law, P.A. will call and verbally verify all wire transfer amounts and instructions received BEFORE a wire is initiated. DO NOT SENT A WIRE UNLESS YOU HAVE CONFIRMED OUR WIRE INSTRUCTIONS VERBALLY. Nasseh Sirounis Law, P.A., its affiliates and underwriters will not be held liable if you become a victim of fraud. WIRE CUTOFF is 4:00 p.m.