Please complete the following information:

Your details


eMail Address*

General details

Property Address*

The commission for the sale:
Selling Agent*
Listing Agent*

Who will prepare the Deed and Lien Waiver?*


  • Our office charges $100.00 to prepare the deed and lien waiver and would be happy to perform this service for you if desired. If title to the property is free and clear, no additional fees will be charged by this office unless you require closing proceeds to be wired or express mailed.
    Please be advised that we also charge a closing fee of $125.00 for all sellers if there is an outstanding deed of trust or another lien to be cancelled. An additional closing fee of $50.00 will apply if the property has 3 or more outstanding liens

Are there any HOA dues? YesNo

If yes then:

Contact Name

eMail Address*


The seller's current mortgage information

First Mortgage
Lender Name

Loan Number

Lender Phone*

Second Mortgage
Lender Name

Loan Number

Lender Phone*

Is your current first and/or second Mortgage Payment Current? YesNo

The Seller's Details

Forwarding Address

Social Security Number

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