Please provide us with the following information:

Seller information

Marital Status

Corporation

Additional information

Is the subject property your: HomesteadInvestment

Are you United States taxpayer? YesNo

Is this a mail away closing to you YesNo

Bank information

Please provide the name and loan number of existing Mortgage holder(s), if any, in order for our office to obtain a payoff letter prior to closing. PLEASE STATE IF THERE ISMORE THEN ONE MORTGAGE OR HELOC. Please provide a recent loan statement.

Associations

Are there any Associations that collect maintenance (Please include name and telephone number of EACH Association).

Seller agrees to reimburse Aventura Title Insurance Corporation for any and all out of pocket expenses on Seller's behalf in connection with the transaction.