FOR SALE by OWNER QUESTIONNAIRE Buyer's Information

FOR SALE BY OWNER QUESTIONNAIRE *Please note that this Packet is not a Contract between the Parties. The information given will be used to draft a Contract to be signed by the Parties. Buyer’s Information: Buyer’s Name(s): ______________________________________________________________ ______________________________________________________________ Buyer’s Address: ______________________________________________________________ ______________________________________________________________ Phone Number: ______________________________________________________________ Email Address: ______________________________________________________________ Current Marital Status if Buyer is an individual: Married* Single *If married, please provide both spouses’ names above. How does Buyer wish to take title? Select only one of the following options: INDIVIDUAL OWNERSHIP Please check one: Single Married Widow/Widower If married, whose name should be on the deed? _____________________________________ TENANTS BY THE ENTIRETY For married couples ONLY. In this form of ownership, the surviving spouse retains full and complete ownership upon the death of the first spouse, without the necessity of probate. The predeceasing spouse’s Will or Trust will not control the disposition of the property. JOINT TENANTS WITH FULL RIGHTS OF SURVIVORSHIP Owners must be individuals and take an equal interest in the property. This form of ownership gives full rights of survivorship to the survivor(s) upon the death of the first co-owner, without the necessity of probate. The predeceasing owner’s Will or Trust will not control the disposition of the property. TENANTS IN COMMON Owners can take unequal ownership interests in the property and don’t have to be individuals. This form of ownership gives the interest of a deceased owner to that person’s heirs or devisees, as determined through Seller Initials: ________ / ________ Buyer Initials: ________ / ________ probate. For example, if “A” and “B” own property together, at “A’s” death, his interest in the property passes to “A’s” heirs, and “B” still retains her original interest. IN TRUST (ALL Trustees must sign as Buyers) Exact Name of Trust: ________________________________________________________________ Name of all Trustees (as written in the Trust):_________________________________________________ Date of Trust Agreement: ________________________________________________________________ Is Buyer paying Cash ______ or Financing ______ What is Buyer’s loan amount $ ________________________ Who is Buyer’s Lender? ______________________________Contact Person: ____________________________ Phone #: ___________________ Fax #:__________________ Email: ____________________________________ Term of ________ years Interest Rate not to exceed _________% Fixed Interest Rate or Adjustable Interest Rate Please Note: Lender fees that may be required as part of financing (mortgage title insurance policy, survey, appraisal, doc stamps on mortgage, etc.) are generally the responsibility of the Buyer. Will this be your Primary Residence after closing? Yes No Do you intend to attend closing? Yes No Seller’s Information: Seller’s Name(s): ______________________________________________________________ ______________________________________________________________ Seller’s Address: ______________________________________________________________ ______________________________________________________________ Phone Number: ______________________________________________________________ Email Address: ______________________________________________________________ Forwarding Address: ___________________________________________________________ Current Marital Status: Married Single Widow/Widower NOTE: If you were married when you purchased this home and are now divorced, your Marital Settlement Agreement and Divorce Decree must be reviewed prior to closing. Seller Initials: ________ / ________ Buyer Initials: ________ / ________ Social Security # for all current owners: ______________________ _________________________ Are all current owners U.S. Citizens: Yes No If No, name of all non-U.S. Citizen(s)? _______________________________________________________ Was this your Primary Residence? Yes No Do you intend to attend closing? Yes No Is there a current Mortgage on the home? Yes No If yes, then provide: Name of Lender: ______________________________________________ Loan Number: ______________________________________________ Ph # of Lender: ______________________________________________ Seller: If you have a current Owner’s Title Insurance Policy on the property less than 3 years old, please provide a copy as you may be eligible for a Reissue Rate Discount. TO BE COMPLETED BY SELLER FOR MORTGAGE PAYOFF Lending Institution: ____________________________________________________________________ Property Address: _____________________________________________________________________ Loan Number: ________________________________________________________________________ Owner(s) Name: ______________________________________________________________________ Mailing Address: ______________________________________________________________________ Social Security Number(s): ______________________________________________________________ I hereby authorize the below designated Closing Agent to obtain a mortgage pay-off on my/our behalf. Please furnish this information to them upon their request. _____________________________________________ _______________________________________ Borrower’s Signature Borrower’s Signature Closing Agent: __ Peninsula Land & Title __ Other _____________________ Seller Initials: ________ / ________ Buyer Initials: ________ / ________ Purchase and Sale Information: Estimated Closing Date: __________________________ Earnest Money: _____________________________ Please allow 30-45 days for Closing Purchase Price: _________________________________ Who Will Hold Earnest Money: Peninsula Land & Title Other: _____________________________ Address of Property Being Sold: _________________________________________________________________ Personal Property Included in Sale Price: Refrigerator(s) Smoke detector(s) Pool barrier/fence Storage shed Microwave oven Security system Pool equipment TV antenna/satellite dish Washer Window/wall ac Pool heater Water softener/purifier Dryer Generator Spa/hot tub with Storm shutters/panels heater Stand-alone ice maker Golf Cart If golf cart included please provide VIN # _____________________ Make and Model ______________________ Personal Property Excluded from Sale Price (being paid outside of closing) _____________________________________________________________________________________________ _____________________________________________________________________________________________ Is this a Mobile Home: Yes* No *If yes, please provide original mobile home titles. Additional fees will apply for transferring ownership. Will Buyer Assume CDD Bond: Yes No Will CDD Bond Be Paid Off: Yes No Who will pay the CDD Bond? Seller Buyer Seller Initials: ________ / ________ Buyer Initials: ________ / ________ Other terms of Contract: _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ Contract Contingencies: _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ Will the Seller be leasing the home from the Buyer after closing? Yes No Do you want McLin Burnsed to prepare a Lease? Yes No Please provide terms of lease arrangement in the space below. NOTE – Additional attorney fees will be charged for the preparation of a lease. _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ Do you want Rent Monies Collected at Closing: Yes No McLin Burnsed will not act as closing agent for your transaction. Who do you wish to act as closing agent? Peninsula Land and Title Other: _______________________________ Seller Initials: ________ / ________ Buyer Initials: ________ / ________ CLOSING FEES AND COSTS Listed below are customary closing fees and who is customarily responsible for the fee. Fees are negotiable between the parties and are not fixed by law. Seller and Buyer are to negotiate each fee and indicate in the adjacent blank who will be responsible for the fee. These fees will be allocated and paid at closing according to the answers you provide. The indicated fees are estimates and may be slightly higher or lower at closing. Customary Fees and Who Usually Pays Who Will Pay McLin Burnsed FSBO Contract $600.00 Seller _______ Buyer _______ Title Search: $ 60.00 (Seller) Seller _______ Buyer _______ Owners Title Policy $ _____ (Seller) (Based on purchase price) Seller _______

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