Buyer Questionnaire

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Buyer 1 Information

Buyer 1 Name *

Buyer 1 Email *

Buyer 1 SSN *

Buyer 1 Marital Status *

Best Phone # to reach you between 8:30am and 5pm *

Buyer 2 Information

Buyer 2 Name

Buyer 2 Email

Buyer 2 SSN

Buyer 2 Marital Status

Title & Property Info

Would you like to attach any documents? (i.e., Insurance Binder)

How will you be taking title?
Individual/ SolelyJoint Tenants with Rights of SurvivorshipTenants in Common

Will the property be your primary residence?

If this is a primary residence and you are married, and your spouse is not a borrower, please provide your spouse's name, so he/she may release their homestead rights at the time of closing.

Spouse's Name

Your Homeowner's Insurance

Agent's Name

Insurance Agency

Agent's Phone

Annual Premium

If you do not have the insurance information available at this time, please provide it as soon as possible. (This applies to condominiums as well.)

Policy Number

How will the premium be paid?
Paid in Full prior to closingPaid on HUD/CD statement at closing


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