SELLER INFORMATION SHEET

Please provide the information below to assist us in processing this transaction.

Seller's Name

Seller #2

Property Address

Street Address Line 2

City

Postal / Zip code

Our File Number

Seller #1

Seller #2

SSN/TIN Seller #1

Primary Phone #

SSN/TIN Seller #2

Primary Phone #

Email: Seller #1

Email: Seller #2

Respective Seller's Spouse's Name

Forwarding Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Payoff Information: Please provide for all loans/mortgages against the property, including lines of credit, even if it has a -0- balance, and sign the attached authorization.

LENDER'S INFORMATION

Lender's Name

Account Number

Phone #

Lender's Name

Account Number

Phone #

Lender's Name

Account Number

Phone #

By submitting this form, I consent to the use of said information for the purposes of obtaining payoff information, if payoffs are due. I further agree to cooperate with Infinity Title Company, LLC to execute any and all releases required to obtain a payoff quote. I further acknowledge and consent to the use of my electronic signature and/or digital reproduction of my signature solely for the purposes of obtaining a payoff quote.

Thanks for submitting!