Seller Questionnaire

Seller's Name *

Seller's Day Phone *

Seller's Evening Phone *

Seller's Email *
Please leave this field empty.

Please use none@none.com if you don’t have an email address.

Seller's SSN *

Marital Status
MarriedSingle

Seller 2 Name

Seller 2 SSN

Property Address you are selling *

Who will prepare the deed? *
Cornerstone Florida TitleYour Attorney

Is the property you are selling your primary residence?
YesNo
If this is a primary residence and you are married, and your spouse is not on the title, please provide your spouse's name, so he/she may release their homestead rights at the time of closing.

Water and Sewer?
Both privateBoth publicPrivate Water/ Public SewerPublic Water/ Private Septic

Please note if the subject property is a condo, we will need a copy of the Master Insurance Policy and a Condo Fee Statement prior to closing.

Condo Association Contact

Condo Contact Phone

Monthly/Quarterly Fee

Is water/sewer included in Condo Fee?
YesNo

Notes

Your current Mortgage Information

Lending Institution (1st Mortgage)

Account Number (1st Mortgage)

Second Mortgage Information

Lending Institution (2nd Mortgage)

Account Number (2nd Mortgage)

Please list any other mortgages

Would you like to attach any documents? (i.e., P&S, 1003, tax bill)

By submitting this form, I authorize Cornerstone Florida Title to receive any payoff information with regard to my/our loan.‎

For security purposes: What is 2 + 6?

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