Seller Information Sheet Seller Information Sheet 620 GREEN VALLEY ROAD, SUITE 200 GREENSBORO, NORTH CAROLINA 27408 WWW.CHANDLERANDSCHIFFMAN.COM MICHAEL R. CHANDLER, ESQ. ADELIA T. SCHIFFMAN, ESQ. CAMERON E. JOHANNESEN, ESQ. CHRISTIAN M. HAIRSTON, ESQ. TELEPHONE: (336) 274-4455 FACSIMILE: (336) 274-7030 Closing Date: * Buyer's Name: * Seller's Name: * Property Address: * SELLER SHEET ***PRIVATE INFORMATION*** In order to ensure an expedient closing, please provide the following information and return immediately. Thank you for your assistance! 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 MARITAL STATUS OF SELLER: UNMARRIED MARRIED SEPARATED WIDOWED Spouse’s Name: Is Seller attending closing? Yes No ***NOTE: If Seller isn’t attending closing OR is signing early, a POA is REQUIRED!*** ***The fee for preparing this document is $100.00*** Name of POA: ***If Seller is not attending closing when is deed needed by? Does Seller need their proceeds wired? Yes No Wire Out ($100.00 additional charge): I request the proceeds be wired to the below account: Please open and fill out the Seller Proceeds Directive Form to wire proceeds! Wire Verification: Telephone Number for Verification of Wire Completed On: Office Use Only By: I request all proceeds to be wired to the account indicated below. I understand THIS OFFICE WILL NOT ACCEPT CHANGES TO WIRING INSTRUCTIONS and any request to change instructions will be assumed to be fraudulent requiring the issuance of a check. This office will not send wires outside the United States. If this directive is not signed in the presence of a Chandler & Schiffman, P.A. employee, I understand I will be contacted via a previously provided telephone number to verify wiring instructions and funds will not be transmitted until telephone verification is completed. Is there HOA? Yes No WHO MANAGES HOMEOWNER’S ASSOCIATION? Phone Number: Email: SELLER EMAIL ADDRESS: SELLER PHONE NUMBER: SELLER’S FORWARDING ADDRESS: SELLER NAME: SSN: SELLER EMAIL ADDRESS: MARITAL STATUS OF SELLER: UNMARRIED MARRIED SEPARATED WIDOWED Spouse’s Name: SELLER NAME: SSN: SELLER EMAIL ADDRESS: MARITAL STATUS OF SELLER: UNMARRIED MARRIED SEPARATED WIDOWED Spouse’s Name: Add another person? SELLER NAME: SSN: SELLER EMAIL ADDRESS: MARITAL STATUS OF SELLER: UNMARRIED MARRIED SEPARATED WIDOWED Spouse’s Name: Add Remove reCAPTCHA If you are human, leave this field blank. SUBMIT Δ Contact Us Name Email Address Message 14 + 1 = Submit Request
