Buyer/Borrower Information Form Buyer/Borrower Name(Required) First Last Buyer Phone(Required)Buyer Email(Required) Second Buyer/Borrower Name (optional) First Last Second Buyer Phone (optional)Second Buyer Email (optional) Street Address of Property(Required) Number & Street NameDo you want the tax bill to go to the property being purchased?(Required)Unless you indicate that you do not plan to occupy the property we will assume that you want the tax bill and all correspondence to be sent to the property address. Yes No Please provide the address where you want the Tax Bill sent:(Required) Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Is an entity (Corporation, LLC, Trust, Estate) purchasing the property?(Required) Yes No Entity Name(Required) Name of Person Signing at Closing(Required) First Last Are you planning to obtain a survey of the property prior to closing?(Required) Yes No If yes, the closing attorney will need to review the completed survey as soon as it is available. Please contact our office if you would a recommendation for a local surveyor.Will you need a Power of Attorney to sign on your behalf?(Required)We will send you the POA form to execute with a notary and witness. There is an $100 charge to prepare and record. Yes No Name of POA(Required) First Last Are you obtaining financing of any kind to assist with this purchase?(Required) Yes No Lender's Name(Required) Lender's Phone Number(Required)Lender's Email(Required) FacebookTweetLinkedInEmailPrint
