Seller's Authorization as Individual

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Settlement cannot be scheduled until this information is received in our office.
Seller’s Authorization to Release Information
I/We hereby authorize Melissa A. Harrison, Attorney at Law, or her representatives, to obtain any payoff balance information, release information, or any information requested regarding any Mortgages or Judgments that may be filed regarding my upcoming closing.
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Address After Closing for Deed*


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Address After Closing for Deed*
Marital Status*
Further, I/we hereby authorize the Company to distribute a copy of my/our ALTA Settlement Statement to real estate professionals involved in this transaction and my attorney if applicable:*

If you currently make payments on your home to a bank and/or any other creditor/lender or have a Home Equity Loan, please provide: name of your bank, account number, and the bank's or lender's phone number and/or phone number or loan officer.

Is there currently a mobile home on the property?*
If yes, please provide a copy of the title to the mobile home.
Has a survey been done on the property?*
If yes, please return surveyed legal description.
Will any seller be utilizing a third-party POA for purposes of this transaction?*
Max. file size: 32 MB.
This field is for validation purposes and should be left unchanged.