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Buyer Information Form
Basic Information about You
The following form will be used to obtain information regarding your property purchase. This form should be completed home
purchasers.
What's your name, as you'd like it to show on your Deed?
*
Buyers are a(n)
*
Buyers are a(n)
A
Individual
B
Company (Incorporation, LLC, Partnership, LLLP, etc.)
C
Trust
D
Other
What's the best email address for you?
*
What's a good phone number for you?
*
What's your full SSN or TIN?
Please provide the best mailing address for you (AFTER the closing):
*
Are you in the process of getting divorced or married?
*
Are you in the process of getting divorced or married?
A
Yes
B
No
Are you in an active or pending bankruptcy?
*
Are you in an active or pending bankruptcy?
A
Yes
B
No
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