If you are human, leave this field blank. Seller Info Sheet Email * A copy of this form will be sent to this address. Sellers Agent Company Name Work Phone Cell Phone Email Property Address Address City State Kentucky Indiana Tennessee Zip Seller 1 Name Marital Status Single Married Separated Divorced Widowed Last 4 Digits of SSN Home Phone Cell Phone Email Seller 2 Name Marital Status Single Married Separated Divorced Widowed Last 4 Digits of SSN Home Phone Cell Phone Email Current Address of Sellers Address City State Kentucky Indiana Tennessee Zip First Mortgage Info Lender Name Loan Number Lender Phone Number Second Mortgage Info Lender Name Loan Number Lender Phone Number Will all sellers be attending closing? Yes No Commission Rate Listing Agent Rate (%) Selling Agent Rate (%) Earnest Money Deposit Earnest Money Held By Association Dues Yes No Admin Fee Home Warranty Yes No Does sale of property include a mobile home? (If yes, seller will need to bring original title to closing.) Yes No Upload Document Other Notes Enter Captcha: Submit
