Seller Information Form - The Law Office of David R. Rocheford, Jr., P.C.

Seller Information Form

Please complete this form to provide information to our office to assist us in preparing your real estate sale closing.

Your Name:*
First Last
Your email address:*
Your Soc. Security Number
This is:
Subject Property Address:*
Street Address Address Line 2 City State ZIP Code
Your Current Address: (State "Same" if same as Subject Property)
Street Address Address Line 2 City State ZIP Code
Your 1st Telephone #:*
Type:*
Your 2nd Telephone #:
Type:
Co-Seller Name: (if any)
Co-Seller Soc. Security Number
1st Telephone #:
Type:
2nd Telephone #:
Type:
Your Attorney's Name
Telephone #:
Address:
Street Address Address Line 2 City State ZIP Code
Your Real Estate Broker:
Telephone #:
Type:
Note: Please provide information about your current mortgage(s) below. This information will be used to obtain accurate balance and payoff information for the accounts entered.
Current First Mortgage Lender: (if any)
Loan/Account Number
Telephone:
Current Equity or Second Mortgage Lender: (if any)
Loan/Account Number
Telephone #:
Other Current Mortgage: (if any)
Loan/Account Number
Telephone #:
Special comments, instructions or questions:
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