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Seller’s Required Information for Trust or Business Entity

Seller’s Required Information for Trust or Business Entity

Escrow Number
Entity
Tax ID#
State In Which Entity Formed
Contact Name(s)
Title(s)
Email
Work Phone
10 digit number - Include Area Code First
Cell Phone
10 digit number - Include Area Code First
Fax
10 digit number - Include Area Code First
Contact Name(s)
Title(s)
Email
Work Phone
10 digit number - Include Area Code First
Cell Phone
10 digit number - Include Area Code First
Fax
10 digit number - Include Area Code First
Return copies of any pertinent documents (i.e. Corporate Resolution, Partnership Agreement, Operating Agreement, Articles of Organization)
If any documents are faxed or e-mailed to you, what size paper do you prefer?
- Letter
- Legal
- Both
I: EXISTING LENDER(S) TO BE PAID OFF OR ASSUMED AT CLOSE OF ESCROW:
IF NONE – PLEASE SELECT “NONE”
Existing Lender(s) to be Paid Off or Assumed at Close of Escrow?
- Yes
- None
Name
Loan #
Address
Street Address City State ZIP Code
Phone
Approx. Unpaid Balance
Loan - Home Equity, Line of Credit (Lender will freeze/suspend pursuant to A.R.S. 33-420.01)
IF NONE – PLEASE SELECT “NONE”
Is there a loan - Home Equity Line of Credit?
- Yes
- None
Name
Loan #
Address
Street Address City State ZIP Code
Phone
Approx. Unpaid Balance
II: HOMEOWNERS' ASSOCIATION(S):
IF NONE – PLEASE SELECT “NONE”
Homeowners Association?
- Yes
- None
Name of HOA Association/Management Co.
Address
Phone
Date of Last Payment
Date Format: MM slash DD slash YYYY
Second HOA Association/Management Co.
Address
Phone
Date of Last Payment
Date Format: MM slash DD slash YYYY
III: WHERE SHOULD WE SEND YOUR MAIL AFTER CLOSE OF ESCROW?
Address
Street Address City State ZIP Code
Phone
Escrow No.
IV: PENDING BANKRUPTCY
Are Any of the Sellers In a Pending Bankruptcy
- Yes
- No
Date Filed?
Date Format: MM slash DD slash YYYY
In What State?
V. MOBILE OR MANUFACTURED HOME ON PROPERTY
Is There a Mobile or Manufactured Home on Property?
- Yes
- No
1) Has an Affidavit of Affixture been recorded?
- Yes
- No
2) Is there a loan against the home?
- Yes
- No
Lender Name
Loan No.
Address
Phone
VI. ASSESMENTS OR RENTS ON PROPERTY
Are There Assessments (Including but not Limited to Irrigation or Improvemtn Eistricts) Or Rent on Property?
- Yes
- No
Lender Name
Address
Acct. No.
Phone
10 digit number - Include Area Code First
2) Are Assessments paid current?
- Yes
- No
VII. SEPTIC OR ALTERNATE SYSTEM
Is the Property Connected to a Septic or Alternate System?
- Yes
- No
VIII. PRIVATE OR SHARED WELL
Is the Property Serviced by a Private or Shared Well?
- Yes
- No
1) Is the Well Located on Property?
- Yes
- No
2) What is the Well Registration No.? 55-
IX. SOLAR / ENERGY EFFICIENT COMPONENTS
Does the Property Include Solar/Energy Efficient Components?
- Yes
- No
If yes: Please indicate if any of the following apply. The Sale price includes solar energy devices, energy efficient building components, renewable energy equipment or combined heat and power systems that impacted the Sale Price by 5 percent or more?
Briefly describe the solar / energy efficient components
Authorization
By submitting this form, I/we hereby authorize the release of information to Yavapai Title Agency, Inc. for payoff purposes.
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Prescott Main Headquarters

123 N. Montezuma
Prescott AZ 86301

Phone: (928) 445-2528
Fax: (866) 594-1890

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