Buyer Information Sheet

Please complete this questionnaire as completely and accurately as you can.

All information that you provide will be held in strict confidence.

Legal First Name

Legal Middle Name

Legal Last Name

Other names used in the past

Current Address

Mailing Address if Different Than Above

Home Phone

Cell Phone

Work Phone

Email

By providing me email address I authorize McDuffy Law Firm, PLLC may send me emails concerning my case.

Last 4 of Social Security Number

Spouse Full Legal Name

Last 4 of Social Security Number (Spouse)

Home Phone (Spouse)

Cell Phone (Spouse)

Work Phone (Spouse)

Email (Spouse)

Street Address of Property Being Purchased

Will this be a cash closing?

Yes

No (If no; please fill out lender information below as accuratly as possible)

Lender Information

Loan Number(s)

By providing this information, I grant the McDuffy Law Firm, PLLC, permission to receive and exchange information from my lender.

Do you have a current survey?

Yes

No

If yes, has it been recorded?

Yes

No

How would you like your name(s) to appear on the deed?

Will the McDuffy Law Firm, PLLC be representing the buyer(s)?

Yes

No

If not, which attorney will be representing you?

Will the buyer(s) be attending closing?

Yes

No

Is the buyer using a POA (power of attorney)?

Yes (If yes; buyer must provide attorney a copy of the recorded POA if the POA is not recorded there is a $26 fee to record and a $100 fee to prepare a POA).

No

PLEASE ACKNOWLEDGE THE FOLLOWING IMPORTANT STATEMENTS & SIGN BELOW:

I have completed this form as fully and accurately as possible and have not knowingly provided any false statements.

McDuffy Law Firm begins work on your file immediately upon receipt of contract.

If the real estate contract is terminated after we have completed our title search, a fee of $300.00 will be paid to the McDuffy Law Firm, PLLC, upon termination. If the real estate contract is terminated and no title search had been completed, a fee of $100.00 will be due to the McDuffy Law Firm, PLLC, upon termination. These fees are subject to change depending on the work completed on the file by the attorney. This fee will be deducted from the Earnest Money deposit refund.

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