Seller Proceeds Directive Seller Proceeds Directive 620 GREEN VALLEY ROAD, SUITE 200 GREENSBORO, NORTH CAROLINA 27408 WWW.CHANDLERANDSCHIFFMAN.COM MICHAEL R. CHANDLER, ESQ. ADELIA T. SCHIFFMAN, ESQ. CAMERON JOHANNESEN, ESQ. CHRISTIAN M. HAIRSTON, ESQ. TELEPHONE: (336) 274-4455 FACSIMILE: (336) 274-7030 Buyer Name: * Seller Name: * Attention: *If you have encountered someone who is suspected of having COVID-19 and are currently showing symptoms of a respiratory infection, or if you are showing symptoms of respiratory infection such as fever, cough, or difficulty breathing, please call our office the day of your closing and make us aware. We will be able to adjust your closing to keep our clients and employees safe! SELLER’S PROCEEDS DIRECTIVE PLEASE CHECK THE APPROPRIATE BOX INDICATING HOW PROCEEDS SHOULD BE DIRECTED * In Person Pick-Up or Pick-Up by Other Individual Mail/FedEx/Other Delivery Service Wire Out ($100.00 additional charge) In Person Pick-Up or Pick-Up by Other Individual: In Person Pick-Up Other Individual I will pick-up the check in person. I understand I will be required to provide a photo ID to receive the proceeds. I authorize to pick-up the check in person. I understand the recipient will be required to show photo ID to receive the proceeds. Mail/FedEx/Other Delivery Service: I request the check be mailed by USPS first-class mail service to the following address (no additional charge): I request the check be overnighted to the following address ($50.00 additional charge): Mailing Address: Mailed by USPS Mailing Address: Overnighted ($50.00 additional charge) Wire Out ($100.00 additional charge): I request the proceeds be wired to the below account: 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. Bank ABA Number: Bank Name & Location (City & State) Account Number: Beneficiary Name (Name on Account): Beneficiary Address: Seller Signature: * Clear Date: * reCAPTCHA If you are human, leave this field blank. SUBMIT Δ Contact Us Name Email Address Message 1 + 14 = Submit Request
