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 regarding any Mortgages or Judgments that may be filed regarding my upcoming closing.
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Address After Closing for Deed*

SPOUSE IF APPLICABLE

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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.