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Seller Information Form

Please fill it out this form, print it and fax it to us at: (603) 225-0382
Seller #1 
Name:
Address:
Home Phone:
Work Phone:
Cell Phone:
Marital Status: Married
Unmarried
Spouse's name if not the other seller:
Social Security Number:
Email Address:
Seller #2 
Name:
Address:
Home Phone:
Work Phone:
Cell Phone:
Marital Status: Married
Unmarried
Spouse's name if not the other seller:
Social Security Number:
Email Address:
How do you wish to take title?   Sole Owner
  Joint Tenants with Rights of Survivorship
  Tenants in Common
  Other -
Choose One: I will Be   Attending Closing
  Executing Documents by Mail
Will this be your primary residence?   Yes
  No
Property Information 
Property Address:
Is the property in an association? (Condo, Homeowners, Park, etc.)?   Yes
  No

If Yes, name of association:

Phone number

Annual Dues:
Paid:
  Monthly
  Quarterly
  Yearly
Is there town water/sewer:   Yes
  No

Paid:
  Monthly
  Quarterly
  Yearly
Deed Preparation 
Priority Title Services will prepare the deed for transfer ($125 fee)   Yes
  No
Deed will be prepared by:

Phone:

Mortgage / Lien Information 
Present Lender (1st Mortgage):

Lender Phone:

Lender Address:

Present Lender (2nd Mortgage):

Lender Phone:

Lender Address:

Additional Comments:
Please fill it out this form, print it and fax it to us at: (603) 225-0382

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47 Hall Street - Concord, NH 03301 - Phone: (603) 226-9300 | (800) 922-0196 - Fax: (603) 225-0382