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Selling Agent Information Form

Selling Agent Information Form

Thank you for your recent selection of FIRST TITLE OF BROWARD, INC to conduct the settlement in connection with this transaction. As settlement agent, we are responsible for the following:

  • Arranging for a title search on the property.
  • Reviewing and issuing the title insurance binder.
  • Maintaining contact with your new lender (if applicable).
  • Ordering/reviewing the house location survey (if applicable).
  • Scheduling settlement with all parties.
  • Conducting the settlement.
  • Recording the new deed and deed(s) of trust.
  • Collecting and disbursing the proceeds.
  • Ordering and issuing the final title insurance policy.

Please Provide The Information Below To Assist Us In Processing This Transaction.

Are we allowed to contact your Client? YesNo

Purchaser Name

First Name: *

Last Name: *

Social Security Purchaser: *

EIN Numbers: Seller: *

Marital Status MarriedSingleDivorcedWidowed

US CITIZEN: YesNo

Purchaser Email: *

Cell No: *

Phone No. Work: *

Phone No. Home: *

Mailing address for Futures use: Property Address: *

Second Purchaser (if applicable)

First Name:

Last Name:

Social Security Purchaser:

EIN Numbers: Seller:

Marital Status MarriedSingleDivorcedWidowed

US CITIZEN: YesNo

Purchaser Email:

Cell No:

Phone No. Work:

Phone No. Home:

Mailing address for Futures use: Property Address:

New Lender Name:

Contacts First Name:

Last Name:

Phone No:

Email:

Will this Property be: Primary ResidentInvestment PropertySecond Home

If this will NOT be your Homestead, is there a Tenant living on the property? YesNo

If so, will they be moving out prior to or day of closing or will they be remaining on as Tenant? MovingRenewing/ Continuing Lease with new owner(s)

Will Buyer(s) be attending closing, or will this be a mail away? If mail away, where should docs be emailed to?

Buyers Mail away address:

Inspection Ordered: YesNo

If Yes, Has it passed: YesNo

Earnest Money Deposit (EMD): $

Who is Holding EMD:

Commission Breakdown: Selling %:

Administrative/Processing Fees: $

Broker Company Name:

Broker ID #:

License #:

Phone #:

E/M:

Commission Breakdown: Listing %

Administrative/Processing Fees: $

Broker Company Name:

Broker ID #:

Listing Agent Name:

License #:

Phone #:

E/M:

Document Upload (Max: 12MB; Formats: gif, png, jpg, jpeg, pdf, xls, doc, docx)

Notes - in case any additional information is required (i.e., 3rd purchaser, buying in a trust, etc.)

For security purposes:

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