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Seller’s Required Information for Trust or Business Entity

  • 10 digit number - Include Area Code First
  • 10 digit number - Include Area Code First
  • 10 digit number - Include Area Code First

  • 10 digit number - Include Area Code First
  • 10 digit number - Include Area Code First
  • 10 digit number - Include Area Code First

  • Return copies of any pertinent documents (i.e. Corporate Resolution, Partnership Agreement, Operating Agreement, Articles of Organization)

  • I: EXISTING LENDER(S) TO BE PAID OFF OR ASSUMED AT CLOSE OF ESCROW:

    IF NONE – PLEASE SELECT “NONE”

  • Loan - Home Equity, Line of Credit (Lender will freeze/suspend pursuant to A.R.S. 33-420.01)

    IF NONE – PLEASE SELECT “NONE”

  • II: HOMEOWNERS' ASSOCIATION(S):

    IF NONE – PLEASE SELECT “NONE”
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY

  • III: WHERE SHOULD WE SEND YOUR MAIL AFTER CLOSE OF ESCROW?

  • IV: PENDING BANKRUPTCY

  • V. MOBILE OR MANUFACTURED HOME ON PROPERTY

  • VI. ASSESMENTS OR RENTS ON PROPERTY

  • VII. SEPTIC OR ALTERNATE SYSTEM

  • VIII. PRIVATE OR SHARED WELL

  • IX. SOLAR / ENERGY EFFICIENT COMPONENTS

    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?

  • Authorization

    By submitting this form, I/we hereby authorize the release of information to Yavapai Title Agency, Inc. for payoff purposes.