MIAMI OFFICE

9425 Sunset Drive, Suite 124
Miami, FL 33173
Tel.: (305) 271-0100
Fax.: (305) 271-8166

DORAL OFFICE

4055 NW 97 Avenue, 1st floor
Doral, FL 33178
Toll Free: 1877-848-5366
Fax.: (305) 777-8816

PEMBROKE PINES
CLOSING LOCATION

Toll free 1-877-848-5366
Fax 305-777-8816

SOUTH BEACH CLOSING LOCATION

Toll free: 1-877-848-5366
Fax.: 305-777-8816

Place
A Title
Order Get a
Quote

Title
Insurance
Calculator Online
Order
Forms

Seller(s) Only Representation

* Required Fields

*Ordered By:

Are you a?

Seller Realtor

Company:

*Phone No:

Fax:

Cell:

*Email:

Sales Price:

Scheduled Closing Date:

Property Address:

County:

City:

State:

Zip:

Is there a fully executed contract?

Yes No

Would you like us to prepare a contract?

Yes No

Signing Location:

Kendall Doral South Beach Mail Away

Seller(s) Information

Are all sellers available to sign?

Yes No

Please list everyone who is currently on title:

Seller:

Marital Status:

Single Married Divorced Widowed

Seller:

Marital Status:

Single Married Divorced Widowed

Home Phone:

Work Phone:

Cell Phone:

Email:

Is this the primary residence of the seller?

Yes No

Is this an investment/rental property or rental property for the seller?

Yes No

Are the seller(s) residents or citizens of the United States?

Yes No

If NO, what is the residential status in the U.S.?

Seller's Existing Mortgage(s)

1st mortgage held by:

Loan No.:

Phone No.:

2nd mortgage held by:

Loan No.:

Phone No.:

Is this property owned by a corporation?

Yes No

Incorporated in:

Florida

USA State of:

Foreign Country, please specify:

Corporate Name:

Buyer Information

Title Company or Attorney preparing title work for the buyer:

Phone No:

Fax:

Email:

Contact:

Buyer Name:

Marital Status:

Single Married Divorced Widowed

Co-Buyer Name:

Marital Status:

Single Married Divorced Widowed

Current Address:

City:

State:

Zip:

Email:

Phone No:

Fax:

Will the property be homestead for the buyer(s)?

Yes No Not Sure

Realtor(s) Information

Seller's Agent:		Broker:
Cell:		Email:
Buyer's Agent:		Broker:
Cell:		Email:
Comments:

Additional documents we will need:

1. Fully executed contract

2. Prior title insurance policy (if available)

3. Last mortgage loan statement

Please fax to (305) 271-8166 or send via e-mail to ATTN: Document Prep