Buyer/Borrower Information Form

Buyer/Borrower Name*

First Last

Buyer Phone*

Buyer Email*

Second Buyer/Borrower Name (optional)

First Last

Second Buyer Phone (optional)

Second Buyer Email (optional)

Street Address of Property*

Number & Street Name

Do you want the tax bill to go to the property being purchased?*

Unless you indicate that you do not plan to occupy the property we will assume that you want the tax bill and all correspondence to be sent to the property address.

Yes
No

Please provide the address where you want the Tax Bill sent:*

Street Address Address Line 2 City State ZIP Code

Is an entity (Corporation, LLC, Trust, Estate) purchasing the property?*

Yes
No

Entity Name*

Name of Person Signing at Closing*

First Last

Are you planning to obtain a survey of the property prior to closing?*

Yes
No

If yes, the closing attorney will need to review the completed survey as soon as it is available. Please contact our office if you would a recommendation for a local surveyor.

Will you need a Power of Attorney to sign on your behalf?*

We will send you the POA form to execute with a notary and witness. There is an $100 charge to prepare and record.

Yes
No

Name of POA*

First Last

Are you obtaining financing of any kind to assist with this purchase?*

Yes
No

Lender's Name*

Lender's Phone Number*

Lender's Email*

Buyer/Borrower Information Form - PTC