Buyer Information Buyer Information Buyer 1 Personal Information Type * Individual Entity Gender * Male Female Current Marital Status * Single (never married) Married Divorced Widowed Entity Type * LLC Corporation Do you need a Power of Attorney? * Yes No Name of Person Signing on Your Behalf Name of Person Signing on Your Behalf First First Last Last Power of Attorney’s Phone Number Power of Attorney’s Email Are you a Single Member LLC? * Yes No Do you need a Certificate of Authority? * Yes No Do you need a Resolution? * Yes No Names of Members Separate names with comma. Buyer 1 Details Name * Name First First Middle Middle Last Last Legal Name Suffix II (Jr.) III IV Name * Name First First Middle Middle Last Last Name * Name First First Maiden Maiden Last Last Company Name * Members Signing on Behalf of Company * Separate names with comma. Date of Birth Social Security Number Tax ID Number Cell Phone Number * Numbers only. Work Number Numbers only. Email * Current Mailing Address Current Mailing Address Current Mailing Address Current Mailing Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal How many times have you been married? * 1 2 3 4 5 Spouse 1 * Spouse 1 First First Middle/Maiden Middle/Maiden Last Last Spouse 2 * Spouse 2 First First Middle/Maiden Middle/Maiden Last Last Spouse 3 * Spouse 3 First First Middle/Maiden Middle/Maiden Last Last Spouse 4 * Spouse 4 First First Middle/Maiden Middle/Maiden Last Last Spouse 5 * Spouse 5 First First Middle/Maiden Middle/Maiden Last Last Driver’s License Upload * Drop a file here or click to upload Choose File Maximum file size: 516MB Additional Buyer? Yes Buyer 2 Personal Information Type * Individual Entity Gender * Male Female Current Marital Status * Single (never married) Married Divorced Widowed Entity Type * LLC Corporation Do you need a Power of Attorney? * Yes No Name of Person Signing on Your Behalf Name of Person Signing on Your Behalf First First Last Last Power of Attorney’s Phone Number Power of Attorney’s Email Are you a Single Member LLC? * Yes No Do you need a Certificate of Authority? * Yes No Do you need a Resolution? * Yes No Names of Members Separate names with comma. Buyer 2 Details Name * Name First First Middle Middle Last Last Legal Name Suffix II (Jr.) III IV Name * Name First First Middle Middle Last Last Name * Name First First Maiden Maiden Last Last Company Name * Members Signing on Behalf of Company * Separate multiples with comma. Date of Birth Social Security Number Tax ID Number Cell Phone Number * Numbers only. Work Number Numbers only. Email * Current Mailing Address Current Mailing Address Current Mailing Address Current Mailing Address City City State/Province State/Province Zip/Postal Zip/Postal How many times have you been married? * 1 2 3 4 5 Spouse 1 * Spouse 1 First First Middle/Maiden Middle/Maiden Last Last Spouse 2 Spouse 2 First First Middle/Maiden Middle/Maiden Last Last Spouse 3 Spouse 3 First First Middle/Maiden Middle/Maiden Last Last Spouse 4 * Spouse 4 First First Middle/Maiden Middle/Maiden Last Last Spouse 5 * Spouse 5 First First Middle/Maiden Middle/Maiden Last Last Driver’s License Upload * Drop a file here or click to upload Choose File Maximum file size: 516MB Preferred Method of Communication * Text Call Email Point of Contact * Buyer 1 Buyer 2 Have you closed with Choice Title before? * Yes No Property Type: * Primary Residence Investment Property Name of Lender If Applicable Phone Number of Lender If Applicable Any Additional Notes Submit If you are human, leave this field blank. Δ
