Seller/Agent Form Seller/Agent Sheet ADELIA SCHIFFMAN LAW GROUP, PLLC ATTORNEYS AND COUNSELLORS AT LAW 1000 N. ELM STREET ADELIA T. SCHIFFMAN, ESQ. CAMERON E. JOHANNESEN, ESQ. CHRISTIAN M. HAIRSTON, ESQ. ANDY MASON, ESQ. Buyer Names: * Seller Names: * Property Address: * Closing Date: SELLER/AGENT SHEET SELLER NAME: SSN: Field in question Yes No Will Call Field in question SELLER NAME: SSN: Field in question Yes No Will Call Field in question Add additional seller Remove Seller’s Marital Status: Unmarried Married Separated Widowed SELLER’S FORWARDING ADDRESS: SELLER EMAIL ADDRESS: SELLER EMAIL ADDRESS: SELLER PHONE NUMBER: Is seller attending closing? Yes No If Seller is not attending closing please email *protected email* to let her know when Deed is needed. Do we prepare Deed? Yes No If we are not preparing, who is? ***NOTE: If Seller isn’t attending closing OR is signing early, a POA is required*** ***Our fee for preparing POA is $150.00*** Name of POA: COMMISSION SPLIT: Selling Realtor Listing Realtor Flat Fee Amount Earnest Money: None Held By: Held By: Listing Agent Selling Agent Attorney ***DUE TO LENDER DISCLOSURE REQUIREMENTS AND OUR OFFICE’S CLOSING TIMELINE, ALL HOA INFORMATION WILL BE ORDERED AS A “RUSH”. SELLER IS RESPONSIBLE FOR ALL FEES CHARGED BY HOA COMPANY, INCLUDING RUSH FEES*** WHO MANAGES HOMEOWNER’S ASSOCIATION? Phone Number: Email: MORTGAGE AND/OR EQUITY LINE OF CREDIT: PAYOFF INFORMATION – LIEN ONE Company Phone Number Account Number PAYOFF INFORMATION – LIEN TWO Company Phone Number Account Number PAYOFF INFORMATION – LIEN THREE Company Phone Number Account Number Proceeds: Pick Up Overnight: $60 Wire: $150 Address (PLEASE FILL OUT SELLER WIRE DIRECTIVE) CAPTCHA If you are human, leave this field blank. SUBMIT Δ
