Nasseh Sirounis Law | Seller Information Form | Nasseh Sirounis Law | Call

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.

Property Address:

Please send a clear copy of your driver license or passport with this form

File

Max. file size: 100 MB.

File

Max. file size: 100 MB.

File

Max. file size: 100 MB.

SELLER #1 NAME

Gender

Male

Female

MARITAL STATUS:

Married

Single

Widow

SOCIAL SECURITY NUMBER:

Cell:

Phone:

Email:

ARE YOU A U.S. CITIZEN OR GREEN CARD HOLDER?

Yes

PLEASE COMPLETE #2 ONLY IF YOU HAVE A CO-SELLER

SELLER #2 NAME:

Gender

Male

Female

MARITAL STATUS:

Married

Single

Widow

ARE YOU A U.S. CITIZEN OR GREEN CARD HOLDER?

Yes

SOCIAL SECURITY NUMBER:

Cell:

Phone:

Email:

POST CLOSING ADDRESS (IF DIFFERENT THAN ABOVE):

1. WILL YOU BE PRESENT TO SIGN YOUR CLOSING DOCUMENTS AT OUR OFFICE IN ORLANDO, FLORIDA AT THE TIME OF CLOSING?

Yes

2. IS THE PROPERTY THAT YOU ARE SELLING HELD IN A TRUST?

Yes

If yes, please provide a copy of the ENTIRE trust

ENTIRE Trust Copy

Max. file size: 100 MB.

3. ARE ANY OF THE PEOPLE ON THE DEED DECEASED?

Yes

If yes, please provide us with the ORIGINAL death certificate

4.IS THIS PROPERTY YOUR HOMESTEAD?

Yes

If no, please list your primary residence below

ORIGINAL Death Certificate

Max. file size: 100 MB.

Primary Residence

5. CURRENTLY OR RECENTLY GONE THROUGH A DIVORCE?

Yes

If yes, what is the status?

6. ARE YOU AWARE OF ANY LIENS OR JUDGEMENTS AGAINST YOU?

Yes

If yes, please list them:

7. ARE THERE MORTGAGES ON THE PROPERTY?

Yes

If yes, please complete mortgage holder information below Please also complete and return the Third Party Authorization form.

FIRST MORTGAGE HOLDER:

BANK NAME:

LOAN NUMBER:

CUSTOMER SERVICE PHONE NUMBER:

SECOND MORTGAGE HOLDER:

BANK NAME:

LOAN NUMBER:

CUSTOMER SERVICE PHONE NUMBER:

7. HOW OFTEN DO YOU PAY YOUR PROPERTY TAXES?

ANNUALLY

QUARTERLY

MORTGAGE COMPANY PAYS

8. DO YOU PAY DUES TO A HOA/CONDO ASSOCIATION?

Yes

If yes, please complete association information below

MASTER/CONDO ASSOCIATION:

Name

Phone:

Fax:

HOW MUCH DO YOU PAY: $

HOW OFTEN?

MONTHLY

QUARTERLY

ANNUALLY

NEIGHBORHOOD ASSOCIATION:

Name

Phone:

Fax:

HOW MUCH DO YOU PAY: $

HOW OFTEN?

MONTHLY

QUARTERLY

ANNUALLY

COUNTRY CLUB/OTHER ASSOCIATION:

Name

Phone:

Fax:

HOW MUCH DO YOU PAY: $

HOW OFTEN?

MONTHLY

QUARTERLY

ANNUALLY

9. HAVE YOU MADE ANY MAJOR IMPROVEMENTS TO THE PROPERTY?

Yes

If yes, please list them:

10. IS THIS A SHORT SALE?

Yes

(You owe more than you are getting)

11.DO YOU HAVE A TITLE INSURANCE POLICY?

Yes

Issuing Company Name:

12. DO YOU HAVE A SURVEY?

Yes

What is the name of the company that prepared survey?

13. DO YOU HAVE TENANTS THAT LEASE THE PROPERTY?

Yes

If yes, please forward a copy of the lease agreement as soon as possible

14. TO WHOM DO YOU MAKE YOUR WATER/SEWER BILL PAYMENT?

Company Name:

Phone

Average Amount Due:

How Often:

MONTHLY

BI-MONTHLY

OTHER

HOW DO YOU WANT TO RECEIVE YOUR PROCEEDS FROM THE SALE?

CHECK – It will be mailed to the post-closing address above and it may take up to 7-10 days to clear your account.

WIRE – If closing occurs after 4:00 p.m., and you have chosen to receive your proceeds via wire transfer, we will send your wire the following business day OR you may opt for a check. We do not charge to send a wire but your bank may charge to receive a wire.

ADDITIONAL INFORMATION:

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.

Seller

Date

Seller

Date