STUART KLEIN

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					                                   STUART B. KLEIN, P.A.
                                            Attorneys at Law
                                     1551 Forum Place • Suite 400B
                                     West Palm Beach, Florida 33401
                                               ________
                                       Telephone: (561) 478-1566
                                       Facsimile: (561) 478-9931
                                          www.kleinslaw.com


Stuart B. Klein, Esq.                                                               Gregory E. Schrager, Esq.
Also admitted in New York & Ohio                                                    E-mail: GES@Kleinslaw.com
E-mail: SBK@kleinslaw.com

                               SELLER / BUYER INFORMATION SHEET


From: ___________________________

Date:   ___________________________

Seller: ___________       Buyer: _____________

Property Address: __________________________________



I will need the following information for Sellers:

1.      Correct spelling of Seller(s) name:          __________________________________

                                                     __________________________________

1.      Seller(s) phone numbers:                     _________________work ________________work

                                                     _________________ home _______________ cell

2.      Seller(s) e-mail addresses                   home____________________________

                                                     work____________________________

3.      Social Security Numbers: (Husband)           _________________

                                     (Wife)          _________________

4.      Marital status: Husband/Wife                 widow        single

5.      If spouse deceased, I will need to know date of death and place of death.

6.      Is there a homeowner’s association? No     Yes      If yes, please provide the name
                 address and telephone number of the association:

                 Name: ___________________________________

                 Address: _________________________________

                 Phone: ___________________________________
7.      Is there an existing mortgage that needs to be paid-off at closing? No      Yes
                 If yes, please provide the name of bank/financial institution, account
                 number and telephone number:

        (1)     Bank: __________________________________

                Acct: __________________________________

                Phone: _________________________________

        (2)     Bank: __________________________________

                Acct: ___________________________________

                Phone: __________________________________


8.      Is there an existing home equity loan that needs to be paid-off at closing? No     Yes
                 If yes, please provide the name of bank/financial institution, account number and
                 telephone number:

                Bank:___________________________________

                Acct:___________________________________

                Phone:__________________________________

The lender for the buyer will probably require a survey of the property be made. The surveyor will be
coming to inspect the property.

        Is the property in a gated community?                             Yes        No
        Are there any gates or animals to be concerned about?             Yes        No
        Does surveyor need to call first?                                 Yes        No

Information I will need about the Buyer:

1.      Correct spelling of Buyer(s) name:       __________________________________

                                                 __________________________________


2.      Buyer(s) phone numbers:                  _________________work ________________work

                                                 _________________ home _______________ cell

3.      Buyer(s) e-mail addresses:               home:_________________________

                                                 work:_________________________

4.      Social Security Numbers: (Husband)       _________________

                                   (Wife)        _________________
5.      Marital status: Husband/Wife             widow           single

6.      If spouse deceased, I will need to know date of death and place of death.

Sometimes the contracts are illegible. Please provide the following information:

1.      Contract price:         $_______________

2.      Amount in deposit:      $_______________         Who is holding deposit: ________________

3.      Who is lender/broker:   _______________________________________________________

4.      Type of loan:           Conventional             FHA              VA

5.      Buyer Commission:       ______%          Buyer’s Agent Processing Fee: $_____________

6.      Seller Commission:      ______%          Seller’s Agent Processing Fee: $_____________

 ONCE YOU HAVE FILLED OUT THE DOCUMENT PLEASE PRINT AND FAX TO 561-478-9931.
  IF YOU HAVE ANY QUESTIONS PLEASE DO NOT HESITATE TO CONTACT ME. WE LOOK
                      FORWARD TO WORKING WITH YOU.

				
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