Seller Information Sheet

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Marital Status:

Is the above referenced property your primary residence:

PAYOFF INFORMATION (Please complete the attached payoff authorization form)

Last 4 (four) of Social Security Nos.(s):#:

Is this a Home Equity Line of Credit:

MM slash DD slash YYYY

Are there Homeowners Association Dues?

If Yes, when are they due:

Is a Manufactured Home located on the property that has an active NCDMV Title that is to be conveyed with the real property:

Real Estate commission percentages:

Listing Agent %

Selling Agent %

Brokerage Fee %

Do you plan to engage the services of your own attorney

If yes, please provide contact information for the firm.

Will you be physically present at closing?

If you will not be present at closing, how do you wish to receive your documents for execution?

Please select the option of how you wish to receive your funds.

Please return to The Schweppe Law Firm Real Estate Closing Team at [email protected] or via fax at 704-482-2103