Seller Information Seller Information Seller 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. Seller 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 * Mailing Address after Closing Mailing Address after Closing Mailing Address after Closing Mailing Address after Closing 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 Seller? Yes Seller 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. Seller 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 * Mailing Address after Closing Mailing Address after Closing Mailing Address after Closing Mailing Address after Closing 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 Property Details Does the property have an HOA? * Yes No Are the HOA dues mandatory or voluntary? * Mandatory Voluntary Name of HOA Company * Contact Person Phone Number Amount Paid to HOA $.00 Frequency of Payments Monthly Quarterly Semi-Annual Annual How many mortgages exist on this property? * 0 1 2 3 Mortgage Company 1 * Loan Number Mortgage Company 2 * Loan Number Mortgage Company 3 * Loan Number Preferred Method of Communication * Text Call Email Point of Contact * Seller 1 Seller 2 Have you closed with Choice Title before? * Yes No Preferred Payment of Proceeds: * Check Wire Any Additional Notes Submit If you are human, leave this field blank. Δ
