Seller(s) Questionnaire Subject property address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Our File #From our welcome materials -- for example "M21-xxxxx"Number of sellers*1234Seller 1 name*Seller 2 name*Seller 3 name*Seller 4 name*Property type*ResidentialCommercialLandProperty Ownership*Fee SimpleLeasehold (subject to ground rent)Ground rent information*Please provide $ amount, due dates, payee, contact and last payment information. If you do not provide this information we may need to escrow 3 years of rent plus $650 to cover potential attorneys fees.Property status*Owner occupiedTenant occupiedVacantWater*Private well/septicPublicIncluded in condo duesIs property subject to Front Foot Benefit charges?*NoYesFront Foot info*Payee, amount, due date, last paymentIs property part of a Condominium or subject to a Home Owners Association (HOA)?*YesNoCondo/HOA information*Please provide contact information for Condo/HOA, including association name, phone/email; dues/assessments amount and periodic due dates Mortgage status*Yes, there are 1 or more mortgages on the propertyNo, I/we own the property free and clearPayoff information*Lender(s), loan number(s), contact, phone/email, etc.Authorization to Release InformationTo Whom it May Concern: I/we have entered into a contract for the sale of the above-referenced property. By my/our signatures below I/we authorize you to provide Masters Title & Escrow, any and all information and documentation requested by Masters Title & Escrow concerning our loan(s), including but not limited to payoff figures, last payment dates, escrow balances, etc. A copy of this authorization may be accepted as an original. I/we authorize Masters Title & Escrow to transfer my/our signature(s) to any required form. No signature or record shall be denied legal effect simply because it is in electronic form.Owner 1 SSN*Owner 1 Signature*Owner 2 SSN*Owner 2 Signature*Owner 3 SSN*Owner 3 Signature*Owner 4 SSN*Owner 4 Signature*File upload (corporate docs, death cert, letters of administration, etc.) Drop files here or You can drag and drop multiple files here or select files from your computerBest Contact InformationName*Email* Enter Email Confirm Email Phone*Seller(s) forwarding address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country where we can contact you AFTER closing
