Seller-Side Information Form DOWNLOAD PDF Full Property Address: County: Was this property your: Was this property your: Primary Residence Second Home Investment Legal Name: Seller #1: Cell phone: Email: Full SS#: Marital Status: Marital Status: Single Married Widowed, Un-Remarried Divorced Gender: Gender: Male Female Legal Name: Seller #2: Cell phone: Email: Full SS#: Marital Status: Marital Status: Single Married Widowed, Un-Remarried Divorced Gender: Gender: Male Female Since the Property was first purchased, has any Seller: Since the Property was first purchased, has any Seller: Married Devorced N/A if Divorce, is it final?: if Divorce, is it final?: Yes No Will any Seller marry/divorce BEFORE closing?: Will any Seller marry/divorce BEFORE closing?: Yes No Is the seller a Corporation or LLC?: Is the seller a Corporation or LLC?: Yes No Name of Corp. or LLC: if yes, please provide: Tax ID: Member/Registered Agent: Please provide your following address: Is the property owned by a Trust?: Is the property owned by a Trust?: Yes No if yes, please promptly send entire Trust document to CountdownTitle for review. Is the property owned by an Estate (the last, sole-owner has passed away)?: Is the property owned by an Estate (the last, sole-owner has passed away)?: Yes No if yes, please provide the following to Countdown Title immediately: A copy of the entire Will Appointment of executor (this document is provided by probate court) or Affidavit of Descent Death Certificate Name & phone number of Executor Is the property a MOBILE HOME?: Is the property a MOBILE HOME?: Yes No - if yes, please immediately email a copy of the Title to Countdown Title for review. Original Title must be submitted to Countdown Title, LLC prior to closing. Is there a Homeowner's Association? Is there a Homeowner's Association? Yes No Name of Association: *IF YES: HOA Contact Name: Contact Phone #: Amount of Dues payment: $. Billed: Billed: Monthly Quarterly Semi-Annually Annually Will Seller(s) be present for closing? Will Seller(s) be present for closing? Yes No *If NO, Option A: Utilize a Power of Attorney Countdown Title can prepare a Limited and Specific POA as a courtesy on your behalf. If you have an existing POA, please provide the document to CountdownTitleimmediately for approval. Option B: Remote Closing with a Mobile Notary Notify Countdown Title as soon as possible, so that arrangements for a mobile notary can be made. A certified mobile notary will meet you at a designated time/location and will assist with the execution and delivery of closing documents. Fee varies, based on type of closing and third-party notary fees. ** Please be sure to notify Countdown Title promptly if the absentee party will be outside of the United States.** How would you like net proceeds (if any) dispersed to you? How would you like net proceeds (if any) dispersed to you? Check Wire Seller Closing Checklist:1. One acceptable form of unexpired photo identification for all Sellers (and signing Spouses). A list of acceptable form of ID is included. SPOUSES must be present at closing even if they are not on the deed pursuant to Florida State law.2. If you prefer your proceeds to be wired, please bring your banking information.a. Please note: some banks have a "wire" routing number that is different than the one on the bottom of your checks. It is always a good idea to confirm wire transfer information with your banking institution.3. Original POA, if one is being used. It must be recorded with the County post-closing. List of Acceptable Forms of Identification1. State issued Driver License2. State issued ID Card3. Military ID Card4. Passport5. US Alien Registration Card6. Canadian Driver License Additional Information that may be important for our office to know prior to closing: Please upload a copy of your current unexpired picture ID Choose FilesNo Files ChosenAccepted file types: jpg, jpeg, jpe, gif, png. Max. file size: 20 MB Any supporting documents Choose FilesNo Files ChosenAccepted file types: csv, tsv, zip, doc, docx, xlsx, xlsm. Max. file size: 20 MB 2 + 15 = Submit
